HomeMy WebLinkAboutCLE200500125 Action Letter 2017-08-01Application for Zoning Clearance -:
OFFICE USE Y
Zoning Clearance = $35 CLE #
Check # 10 IR Dite:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: - Existing Zonin
Parcel Owner
Z./I C. I
Parcel Address: MW 4✓ CXO&SJ'� Citye�(*n:-6 W L-State LA Zip
__(include suite or floor) -
APPLICANT INFORMATION
Who should we call/write concerning this project? 40JO�uiAC4,4-
Address : 177 �/✓ �L . City ��7ZRS�F"tate VA. Zip'!
97
Office Phone: �} o Cell #q3y— 8Z; Faax6# E-mail
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PROJECT INFORMATION
Business Name/Type:
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 CIearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to anew 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 Printed_ _ nr`�ul
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APPROVAL INFORMATION
%) Approved as proposed ( Approved with conditions
Building Official Date C, a
Zoning Official Date
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) 972-4126
Ap 'cant 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 IVIs 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.
91 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 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,
N Is the parcel on public water and sewer?
Will you be putting up a new sign of any kind? 15
If so, obtain proper Sign permit. Permit #
! N Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit # 1
Y ,( N] Is this for sales of Fireworks?
`J If so, obtain a copy of FfR permit. Permit #
Zoning Tech to complete the following:
Vi lat ns•
Y N If so, List:
Y i �' I so, List
Reviewer to complete the following:
k.�
Square footage of Use:, � i
vw
H- '1' , Z-?A M I
Under Section:
K3*
If so, List:
S s:
1 N f so, List:
Permitted as:
Supplementary regulations section:
Parking formula: s t 1OWSFAWS.,"07A Regaired spaces:
s o �)c 13 0-6
Y /U Items to be verified in the field: