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HomeMy WebLinkAboutCLE200500135 Action Letter 2017-08-01'Application for Zoning Clearance -� g OFFICE USE ❑ Zoning Clearance = S35 CLE # (� Check # AS. 07 Date: PLEASE REVIEW ALL 3 SHEETS Receipt # Staff: PARCEL INFORMATION Tax Map and Parcel: b 1 g M / — Parcel )-or, - 0116 Existing Zoning Ri" ^ Parcel Address:_ / 9`' !t✓C� (�,�G�.f7i State (J zip �L/ _(include suite or floor)-- -^--------------- -- -------------------------------- .-- APPLICANT INFORMATION Who should we call/write concerning this project? 0)• b Address:—. L�Ciit�y - State Office Phone: � V l` "d �U'-V Cell # A`7 a #J E-mail PROJECT INFORMATION Business Name/Type: Previous Business on this site: Proposed use: Zip 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 owners 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 'L Printed U b Y ( 6 0 LC �2— ------------------------------------------------------------------------------------------------------------------------------------------------ APPROVAL INFORMATION { ) Approved as proposed ) Approved with conditions Building Official Date Zoning Official Date Other Official Date ------------------------------------------------------------------------------------------------------------------------------------------------ County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724I26 31N2005 P, ag l 9Q,, 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; Dk, 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 /0 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 /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? . Y / © 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? If so, obtain the proper Permit. Permit #_ Y i N Is this for sales of Fireworks? If so, obtain a copy of F/R permit. Zoning Tech to complete the following: Violations: Y / N If so, List: Y / N If so, List Reviewer to complete the following: Square footage of Use: Permit # Under Section: 'f' x Le Parking formula: X"C J Y / �O Items to be verified in the field: Proffers: Y / N If so, List: SP's: Y / N If so, List: S , Permitted as: Supplementary regulations section: Required spaces:.