HomeMy WebLinkAboutCLE200500118 Action Letter 2017-08-01Application for Zoning Clearance 5
OFFICE US O Y
❑ Zoning Clearance = $35 CLE #
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff. -
PARCEL INFORMATION
Tax Map and Parcel: -00 __ 00 —1A! FO Existing Zoning_
Parcel
Parcel Address:9f° too m 5+7). U
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APPLICANT INFORMATION
Who should we call/write concerning this project?
a'o i 11e, State
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VA
Zip 01
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Address : 75 &c)v+l
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arle,City _CY IQYL t1a�te/` I _... ZipQ"I f
Office Phone: AS r - `t Cell # Fax t(q
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PROJECT INFORMATION J
Business Narne/Type: �-z� V Rem S , L Lr C
Previous Business on this site:
Proposed use -
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 ' (2,%) Printed (r-leri e 00AII'VA /J
APPROVAL INFORMATION
( ) Approved as proposed ( Approved wi
Building Official
Zoning Official
Other Official
Date —
Date �f�OCj
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
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: i
Y L� 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 /(-N�) 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 N Jis the parcel on private well and septic?
E ON If so, fax application to Health Department. FAX DATE
i Can not issue until we receive approval from Health Dept.
Is the parcel on public water and sewer?
}Y Will you be putting up a new sign of any kind?
4� If so, obtain proper Sign permit.
Y _ T Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
i
Y Is this for sales of Fireworks?
i 4r/ If so, obtain a copy of F/R permit. Permit #
Permit #
Zoning Tech to complete the following: J,, W $F
If so, List:
Variance:
Y / N If so, List
Y% N If so, List -
SP's:
Y / N If so, List:
Reviewer to o Rttll'IittoV4(1
Square foots se: "' ---'�D()!� Permitted as:
Under Section: -21KAr ZAAA Oq J& Supplementary regulations section:
Parking formula:J— (, wr 20%Et4eT Required spaces: ' I
5, 5aoX 3 2 I ao
�/ N Items Nkerified in the field: -