HomeMy WebLinkAboutCLE200500128 Action Letter 2017-08-01plication for Zoning Clearance
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OFFICE US ONLY
El Zoning
Zoning Clearance = $35 CLE#
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Check # 0
PLEASE REVIEW ALL 3 SHEETS Receipt # 1
Date.
Staff:
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PARCEL INFORMATION'
Tax Map
and Parcel: Iv Existing Zoning
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Parcel Owner:
Parcel Address: 4i'J� Ra'.1S �i �j�- . City �OZ State
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_-------(include suite or floor)
APPLICANT INFORMATION a�
Who should we call/write concerning this project? J'C246Y
Address :0"J ate_*S [yLar;r_ 17 City C�202e�1"' State
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Zip Z z�3 �-
Office Phone: f^?�j �rJd / Cell # Fax # 2s ��`�'! E-mail
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PROJECT INFORMATION
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644YAP-Y( et $3 i+p ¢�'��4� .+T;
Business Name/Type; Grr.eL G01-_A '
COft
Previous Business on this site: iRrtawac Al
Proposed use: Gs>. -A Gas 'L_
Circle (if applicable): Fireworks 1 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 f 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 �' 7�y 0--r-4
APPROVAL INFORMATION
( ) Approved as proposed
Approved with conditions
(l
Building Official �~
Zoning Official
Other Official
Date
Date 29
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
Ucant 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 /P 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.
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1 N Will there be food preparation?%aaor4ow,
If so, fax application to Health Department. FAX DATE I
Can not issue until we receive approval from Health Dept.
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.
Is the parcel on public water and sewer?
Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Will there be any new construction or renovations? 1 ��
If so, obtain the proper Pen -nit. Permit
/ T Is this for sales of Fireworks?
If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
Vio Rns:
Y N If so, List:
so, List
Reviewer to complete the following:
Permit #
Proffers:
Y / N If so, List:
SP's:
Y / N If so, List: O i3
Square footage of Use: Permitted as: 5 P 6
Under Section:.S10 (5 L(— t3 Supplementary regulations section:
Parking formula: ,.L Required spaces:
Items to be verified in the field: .
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