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Home My WebLink AboutCLE200500136 Action Letter 2017-08-01Application for Zoning Clearance �igGirtr OFFICE S ONLY 0oning Clearance = $35 CLE # Check # Date: 1 �'� �'"" PLEASE REVIEW ALL 3 SHEETS Receipt # Staff: S PARCEL INFORMATION Tax Map and Parcel: — (o -- o — ©17-5Enlisting Zonin Parcel Owner: .' u Parcel Address:AA CityI StateLA Zip��r suite or floor2_ APPLICANT INFORMATION Who should we call/write concerning this project? Address : e � �✓�'G ,�'V 10 �tOFC11y If I- State lam__— Zip Oftice Phone: -Y 3 !� V/Cell # Fax # E-mail PROJECT INFORMATION Business Name/Type: T P (/� ��'��I ✓ Ji.�s'� 's !%G� !��✓ 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) *Tlis 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 1 understand them, and that I will abide by them_ Signature APPROVAL INFORMATION ( ) Approved as proposed Printed ( \41Approved with conditions *,SA — Building Official Date -1 „ Zoning Official Date 75G6 /DS Other Official Date ---County of Albemarle. ��-��-�� Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9714126 2of3 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; TjV c) Note the square footage of each room or area of use; c&ct g ru '"" d) Note the use of each room or area of use. S,+act� _I � Intake to complete the following: ouua� i u� Y /s 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 OIs the parcel on private well and septic? If so, fax application to Health Department. FAXDATE Can not issue until we receive approval from Health Dept. N 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 # N Will there be any new construction or renovations? 4� If so, obtain the proper Permit. Permit #Y�) R, O Y Is this for sales of Fireworks? ON so, obtain a copy of FIR permit. Permit # Zoning Tech to complete the following: Violations: Y 1 N If so, List. Variance: Y 1 N If so, List Reviewer to complete the following: Square footage of Use: Y i N If so, List: SP's: Y I N If so, List: Permitted as: %1 Under Section: 4>4� 3' Z • 1 i Supplementary regulations section: Parking formula: Required spaces: 110 Y / N Item4 to reveri91in'the'1ie'1'CdL_'----: