HomeMy WebLinkAboutCLE200500123 Action Letter 2017-08-012�tggat
Application for Zoning ClearanceO.nn)""
OFFIC USE ONLY
❑ Zoning Clearance = 535 CLE # 0 J C CJDSr /�
Check # _ Ig 2. Date: —s-
PLEASE REVIEW ALL 3 SHEETS Receipt #-LQbpti staff:
PARCEL INFORMATION
Tax Map and Parcel: tN560 006 Old Existing Zoning f
Parcel Owner: 1 ll f +e
Parcel Address;��" [ 7 hits hl City State Zip
__(include suite or f]oor)_
APPLICANT INFORMATION
Who should we call/write concerning this project?
Address Pay City T' tate
Office Phone: Cell # F>ax # eR5 - 79& E-mail'
PROJECT INFORMA'
Business Name/Type:
Previous Business on this site:
Ps ,
Proposed use:
4
Zip
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 ownees permissionto 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 the conditions of approval, and I understand them, and that I will abide by them.
Signa Printed 40Yr-011A 91tLf
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APPROVAL INFORMATION
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MELIVA
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I,
Other Official
Date
•-----------------------•--------............------------...................------...------------------......-•----............------------......
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9714126
313/2005 Page 2 ot'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 !QIs the use in a LI, HI or PDIP zoning?
If so, give applicant a Certified Engineer`s Report (CER) pack0t.
Can not issue until CER is approved by the County Engineer.
Y I�I 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?
IIJJ 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?
Y /(dui ) Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y ! Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y / is this for sales of Fireworks? '
If so, obtain a copy of F/R permit. Peradt #
Zoning Tech to complete the following:
Violations:
Y / N If so, List:
Variance:
Y / N If so, List
to complete the following:
Proffers:
Y / N If so, List:
SP's:
Y / N If so, List:
Square footage of Use: `io v U Tent Permitted as:
Under Section: r Supplementary regulations section:
Parking formula:
Y k9 Items to be verified in the field:
Required spaces: ~