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HomeMy WebLinkAboutCLE200500111 Action Letter 2017-08-01V2005 12:53 FAX 454 972 4126 HLD CODE & ZONING a 001/002 Application for Zoning Clearance OFFICE U ❑ Zoning Clearance- S35 CLE # Check # 5' Date: PLEASE REVIEW ALL SHEETS Receipt # 9 Staff: zzvdz PARCEL INFORMATION Tex Map and Parcel: (96 EX;10 -- d D — © O () 9 POO Exisdug Zoniag Co �earz i.�-f D�iGe✓ Parcel / Parcel Address: .....— - include ........................... / 4V"A Ite or cm) Z-4-c CityG k w%ems v; /Ae— State \/A Zip P;L?01 APPLICANT INFORMATION Who should we eall/write concerning this project? -4— Address: K7-P, Q/Ue 4' e- �o-fL City C4r10 e5wore, State %A Zip 7'-'C(Q3 Office Phone: Cp_J) q-73- 57 ` 1 Cell # 153-6735' Fax# q'73-5rlYo E-tnaii 'fir S� P �/ L/%ctK,► 7� PROJECT A.vFORMAT ON Business Namerl'ype: CL e. Case, it C—OAs; U 0 IJ Previous Buduxon this site.- s f,` ju7� 6-6 `T�x-7 e - %r4 .R. /o Proposed brae: r C �/' Ct� 5 u es�i L C'i z Circle (if applicable): Fkeworks / Christmas Tree SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOk FVXWORK OR C%IIM TMAS TREE SALES (Sheet3) •This Clarutce will only he valid on the parecl for which it is improved. If you Chang_, intensify or nwve the Use to a new location, a new Zoning Clarke will be roquind. I haft certify that l own or have the owners permission ID use the space indicated on this application. I also certify that the information provided is true and accurate to the best of my knowledge. I have read the conditions of approval. and I undemmud them, and that I will abide by thcm. Signauue Prettied (21- Zoning Oiiidal Outer Officirtl ---------•-,...............•-County.of Alheir arle D►epa nment of Community Development -- - --= 401 McIntire Road CharlettesyMe, VA 22902 Voice; (434) 296-M2 Fsw (434) 99 2( 7 2005 L+'edfv�lYiairit� �.+�..Yc..�vi �ele:.f� 3/2003 12:33 FAX 434 972 4126 BLD CODE g ZONING IM002/002 Applicant MUST HAVE the following information to apply: 1) Tax Map and Parcel or Address with unit number or floor if appropriate. 2) A Floor Plea - eidhcr a sketch or an arehitectini drawing a) If urftrg less than the entire str iem, note the location within the structure; b) Now the tptal square footage ofthe use; c) Note &e square footage of each room or area of use; d) Now the use of each room or area of us& Intake to complete the fellowing: Y / a Is the use in a LI, H1 or PDIP zon&? If so, give appliaam a certified ids Report (CEI) padML Cart not issue until CER is approved by the County Engine. Y /0 Will then be food preparahm? If so, fax application to 13ea16 DepardmeAt. FAX DATE Caa not issue until we receive approval fiom Healib Dept Y / N Is the parcel cm private well and septic? If so, fax application to Healdt Department. FAX DATE III Ilf Can not issue until we receive approval from.Healih Dept. Y / N Is the parcel on public water and sewer? Y / Nq Will you be putting up a new sign of any kind? If ao, obtain proper Sign permit. Permh N Y / N Will there be my pew eonstmcdon or m ovadons? If so, obtain the proper Pes dL Perndt # Y Is rids for sales of Fireworks? If so, obtain a copy of F/R permit: Permit 0 Zoning Tech to complete the following: Y _IyYi If so, List Y X N) If *% List Reviewver to complete the Proffers: Y / N If so, List: 1" 10 N Tfso, List: Square footage of Use: Percived as: Supplementary regulations sect m: Parking formula: Required spaces: Y I N Items to be verified iu the field: