HomeMy WebLinkAboutCLE200500115 Action Letter 2017-08-01Application for Zoning Clearance
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OFFICE USE ONLY
Zoning Clearance = S35 CLE #
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # '1 Staff: J►�'
PARCEL INFORMATION
Tax Map and Parcel: 0�% ' 300 Existing Zoning
Parcel Owner: m 6t4—' ✓?a c"• l -G.1 �J60 f vG� L+o7) /0�
Parcel Address: 1/2-7- Sa! U4"-C City Chet-77,csV7"; State Ug � zip 2 25o !
-(include suite or floor___
APPLICANT INFORMATION
Who should we call/write concerning this project? 6 A V e lf� t {a r41 A
Address: a 3 a r o[ ... c ►� Y City C 1..' l * t to l " ( I't State Zip
Office Phone: 914 - 9-1 4 a�q 4
U Cell# q$ti• 2--A.411 Fax# 9T 4c*$90 E-mail p+Ip. fh C'J+-
PROJECT INFORMATION �{
Business Name/Type: A L A rr V i') n-et. 4J e l Z n YS 3
Previous Business on this site: hclac Imo_
1
Proposed use: d+ r- ; r+ b E t b
Circle (if applicable): Fireworks 1 Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet3)
*This Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to a new location, a new Zoning
Clearance will be required.
I hereby certify that I own or have the owner's permission to 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 understand them, and that I will abide by them_
Signature b APrinted V a v. 3 t rfl C. ,.- L1 cly--
APPROVAL INFORMATION
( ) Approved as proposed ) Approved
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Building Official DN.ate
Zoning Official Date 21 65
Other Official
Date
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County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
3/312005 Page 2 of 3
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 Plan - either a sketch or an architectural drawing
a) If using less than the entire structure, note the location within the structure;
b) Note the total square footage of the use;
c) Note the square footage of each room or area of use;
d) Note the use of each room or area of use.
Intake to complete the following:
Y 1
Is the use in a LI, HI or PDIP zoning?
If so, give applicant a Certified Engineer's Report (CER) packet.
Can not issue until CER is approved by the County Engineer.
Y ON
Will there be food preparation?
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If so, fax application to Health Department. FAX DATE
from Health Dept.
pV
Can not issue until we receive approval
Y 1 N
Is the parcel on private well and septic?
FAX DATE00
If so, fax application to Health Department.
Can not issue until we receive approval from Health Dept.
r'%.,
0
Y N
Is the parcel on public water and sewer?
0
c n
M
Y / &
Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
N
Will there be any new construction or renovations?
# a
If so, obtain the proper Permit. Permit
Y ON.
Is this for sales of Fireworks?
If so, obtain a copy of FIR permit. Permit #
Zoning
Tech to complete the following:
List:
Variance:
Y / N If so, List
Reviewer to complete the following:
Square footage of Use: S f�
Under Section: 5 Z 1 1 -:�P' 22 •. 1 a ot
Proffers:
Y 1 N If so, List:
Z-rrr 19
SP's:
Y / N If so, List:
Permitted as:
Supplementary regulations section:
Parking formula: kam b.its Required spaces:
Y i N Items to be verified in the field: