HomeMy WebLinkAboutCLE200500137 Action Letter 2017-08-01Application for Zoning Clearance
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❑ Zoning Clearance = $35 CLE # (X J I
Check # Date:
377-71!90-
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff: _ dxu —
PARCEL INFORMATION
Tax Map and Parcel: 0 (v — o 77(2Existing Zoning R {�
Parcel Owner: Wo"d O t'q 44 C4urrlx CoQ 1` o t)
Parcel Address: oW Lcm6y qcLCity r10 if ex %Aestate , V149Zip 0102 f 0 /
--------------------------- Sinclude suite or floor)___
APPLICANT INFORMATION
Who should we call/write concerning this project?
Address:. .&& L4iv6g Rd City gLrjo Aes v; 1/!state V-A T_ Zip Z -;�-9 d /
Office Phone: C__) Cell # q4 t Yr Fax # E-mail 1 @ m arle
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10 Etc
Previous Business on this site:
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 t of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature �'APrinted t Z 14 t h@ t- �4
------------ .... �- -.".1 --- L-1 --------------------- / ---- // ---------------------------------------------------------------------------------------
APPROVAL INFORMATION
( ) Approved as proposed ( ) Approved with conditions
Building Official Date
Zoning Official Date Cc, I 'A L G
Other Official
Date
_.--._________________________.........--..-..-
County of Albemarle Department of Community Development --��������-
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
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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 Is the use in a LI, HI or PDIP zoning?
If so, give applicant a Certified Engineer's Report (CER) packet.
Cannot issue until CER is approved by the County Engineer.
CI
Will there be food preparation? �•12_ +.[310
If so, fax application to Health Department. FAX DATE 31 0'S
Can not issue until we receive approval from Health Dept.
Is the parcel on private.well and septic? t
If so, fax application to Health Department. FAX DATE
F�PT.D'M`W' Can not issue until we receive approval from Health Dept.
(YN Is the parcel on public water and sewer?
Y I ill you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y I ill there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y I this for sales of Fireworks?
01f so, obtain a copy of FIR permit. Permit #
Zoning Tech to complete the following:
iolationI
/ N f so, List:0 D 1 / J
-4riance:
�51
N If so, List 0 _`
Reviewer to complete the following:
Square footage of Use:
Pr s:
Y N If so, List:
's:
Y / N if so, List:
Permitted as:
Under Section: Supplementary regulations section:
Parking formula:
Y / N Items to be verified in the field:
Required spaces: