HomeMy WebLinkAboutCLE200500127 Action Letter 2017-08-01�ppllcation for Zoning Clearance w
OFFICE L
ONLY
❑ Zoning Clearance = S35 CLE #
Check # Date: `
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
PARCEL INFORMATION - P rr .� P �l -r
Tax Map and Parcel: E dsting Zoninff
Parcel
Parcel Address: CG .•►o Rxv City 1.� .s�'i/ State ZipZZ ,/ f
include suite or floor
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APPLICANT INFORMATION
Who should we call/write concerning this project?
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Address: l Z Xkfe'V; Dr ' vC City L �rcr�GT cS,�� ��e State 1J4 ZIP22-5 o2-
Office Phone: Cell # 9q b -?53Fax # E-mailer 1 V ees,-------------------------------------------------------------------------------------------------------------------------------------------------
PROTECT INFORMAT&ON
Business Name/Type: SA?¢ 19
Previous Business on this site: VA c—,?
Proposed use: Cg
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 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
AP)F OVAL INFORMATION
MApproved as proposed 6. Approved with conditions
Building Official Date (0 oS
Zoning Official Date 6A 3S
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
Applicant MUST HAVE the following information to apply:
1) Tax Map and Parcel or Address with unit number or floor if appropriate.
2) 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:
Yo Is 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.
R Y / (0 Will there be food preparation?
If so, fax application to Health Department. FAX DATE
Can not issue until we receive approval from Health Dept.
f ' 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.
YD N Is the parcel on public water and sewer?
1 Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y)/ N Will there be any new construction or renovations? p y►
If so, obtain the proper Permit. Permit #
Y � Is this for sales of Fireworks?
If so, obtain a copy of FIR permit. Permit
Zoning Tech to complete the following:
Violations:.
Y / N If so, List: .
Var' ce:.
Y .0 If so, List
J
Reviewer to i
Square footaI
Under Sectioj
Proffers:
Y / N If so, List: Q n
SP's:
Y / N If so, List: Q
the -following:
E Permitted as:
Supplementary regulations section:
,F4 * -,
Parking formula: ZX :n/ a Mc Required spaces:
Y Items to be verified in the field: