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HomeMy WebLinkAboutCLE200500126 Action Letter 2017-08-01Albemarle County Department of Community Development Application for Zoning Clearance Tax Map/Parcel: Fee of�J5$"3.00 t Fie #: Check # ! J,7q 70 Date: Recept # statt: D nq� m ate° Parcel Owner: C m P� ��- err -�c�f � n .' W 01 � 4 , Address V'b-Q _ [ y, }1 % t -3 1 `I_ �f City C 1� k vlwtate VA Zip ;mq04- (Include suite or floor) i Existing Zoning: 1`� C_ 00 m �.t� .,� - :�z"f0l Who should we call/write conceming this project? _ Mk�-ae� 1 a t�ttJL e Address V. (� 1� . 1 c6;L 3 City 2�OuAy� a su:16tate 04 Zip a Office Phone: ��13k� 'Z2G-% ` Cell: (�341 Q c // 44 Fax: l�3k1 9 S l— 1 D 69 E-mail: l��arbaV0, V- 9 i J KA . C vWN •------------------------------------------------------------------------------------------------------------------------------------- Business Name/Type: Cr,' CNN' ICL\ 1`t +t It v, er AA '4 Previous Business on this site: �t ( Y Proposed use: nO �0 r- 50L s >' C.-r-©� ill. + etA It ow o WA � +L j m a m 2- hc"wi,11 lot A.A. S ► - a Circle (if applicable): Fireworks 1 Christmas Tree e-�aA� ',�aLj 1 Z.tN ��• *This Clearance will only to valid on the parcel for which it Is approved. K you change, Intensity or move the use to a new location, a new Zoning Clearance will be required. I hereby certify that I am or have th ees psnnissio use the spaw-j-016ted on this application: I also certify that the information provided Is true and accurate to tl>a Ges nowledge. a cond' of approval, and I understand them, and that I will abide by them. Signatur • Printed 1 41 t 1. J A _�aw� •k d , � r p r 0- A dW proposed.......... �............ ( )Approved with conditions o • a qBuilding Official Date (l Zoning Official Date S t.0o - r Applicant to complete the following: Y)/ N Do you have one of the following: Tax Map and Parcel Number and or; Address of use (include unit or floor if appropriate; Y .1 N Do you have a Floor Plan (sketch or an architectural drawing) that includes the following: The total square footage of the use and/or; The square footage of each room or area of use; Use of each room or`area If using less than the entire structure, note the location within the structure. Intake to complete the following: Y /,N� Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y /%N? Will there be food preparation? If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Dept. Y /41 N Is parcel on private Welland septic? If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Dept. Y)/ N Is on public water and sewer? Y /61' Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y 1 N f Will there be any new construction or renovations? If so; obtain the proper Permit. Permit # Y 1 DN Is this for sales of Fireworks? If so, obtain a copy of FIR permit. Permit # Zoning Tech to complete the following: Violations: Y If so, List: Proffers: Y / If so, List: Variance: Y If so, List: SP's Y 1 If so, List: Reviewer to complete the following: Square footage of Use: �1 N Permitted as: Under Section: Supplementary regulations section: Parking formula: Required spaces: ` Y (f�> Items to be verified in the field: inspector Name & Date: