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Home My WebLink AboutCLE200500117 Action Letter 2017-08-01Application for Zoning Clearance - = OFFICE USE Y ❑ Zoning Clearance — $35 CLE # _ Check # Date: 2, PLEASE REVIEW ALL 3 SHEETS Receipt # Q199a Staff; PARCEL INFORMATION s Tax Map and Parcel: �L2C2 —CO— O " 01 7� Existing Zoning Parcel Owner: Parcel Address: Q �� i� c.I 5'�j��- C� ty� State �� Zip" --------{include suite or floor --------------- - ---------------------------------------------------------------------------------------------------------------- APPLICANT INFORMATION Who should we call/write concerning this project? Address : C«G eo City 41M State zip e7- Office Phone: Cell # Fax # E-mail *e„P� �'►?� ,�� PROJECT INipti ` ' •"`"" Business Name/Type: Previous Business on t Proposed use: C_ Circle (if applicable): Fireworks / 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 owners 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 d��_ Printed Z'5*14'e i C dU ------------------------------------------------------------------------------------------------------------------------------------------------- APPROVAL INFORMATION proved as proposed Approved with conditions Building Official fEl. A Date Zoning Official DateIV s, Other Official Date ----------•----------------------------------------------------------------------------- County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126 e'%. "0'% 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, mote 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 rIs 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 Will there be food preparation? If so, fax application to Health Department. FAX DATE Can not issue until we receive approval from Health Dept. Y ; Is the parcel on private well and septic? If so, fax application to Health Department. FAX DATE Can not issue until we receive approval from Health Dept. Y / N Is the parcel on public water and sewer? N Will you be putting up a new sign of any kind? �- ©� �P If so, obtain proper Sign permit. Permit #_ i D 6 y // i Will there be any new construction or renovations? l/ If so, obtain the proper Permit. Permit # Y CN)' Is this for sales of Fireworks? If so, obtain a copy of F/R permit. Permit # Zoning Tech to complete the following: vio do Y I N A so, List: N If so, List Reviewer to complete the following: Proffers: Y I N If so, List: 's: N If so ist: Square footage of Use: Permitted as: Under Section: Z 5 Supplementary regulations section: p�S Parking formula: 5�5 -` Required spaces: Y Items to be verified in the field: