HomeMy WebLinkAboutCLE200500133 Action Letter 2017-08-01Application for Zoning Clearance -5
OFFICE USE�QNLY /3
Zoning Clearance = $35 CLE # (i
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # 42 12 0 Staff:
PARCEL INFORMAT
Tax Map and Parcel: U — ——0-73A3 Existing Zoning —PI)
Parcel Owner: •—,VYi L.0
Parcel Address: �3 City 64,94
State �i Zips
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APPLICANT INFORMATION
Who should we call/write concerning this project? S Fa f g,TT--) �i g
Address: City Lam :J-- -c ff--i Qtate } +zi Z2! tAft- I
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Office Phone: ( y' �,� 2 dell # Y �� Fax #q7 �f-g - ail
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PROJECT INFORMA'
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 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 m knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature A�qPrinted in4&Y_ .S , � I� o.• -4 ;pt'L
APPROVAL INFORMATION
( ) Approved as proposed
Building Official
Zoning Official
{ proved with conditions
Date
Date '-?b 10 5 -
Other Official
Date
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County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (4341296-5832 Fax: (434) 977-4126
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 I(N J 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.
Y 1 IN) 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 16) 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?
Y / N Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y I N Will there be any new construction or renovations? �q D �-
If so, obtain the proper Permit. Permit # V
Y / TOIs this for sales of Fireworks?
If so, obtain a copy of F/R permit.
Zoning Tech to complete the following:
Y / N J If so, List:
Var'
Y / N If so, List
Reviewer to complete the following:
Square footage of Use.
a.5ba
Permit #
Under Section: S�5 -Z• "�'2- }
Parking formula:
40
Y AN Items to verified in theYield: W 0�
Y `/ AY If so, List:
Y i N / If so, List:
Permitted as: T 51 DV►w� ?iy .
Supplementary regulations section:
Required spaces: 40 `
41 2oh i v-* .
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