HomeMy WebLinkAboutCLE200500138 Action Letter 2017-08-0105/11/2005 16:17 FAX 434 978 0118 690 BERKNAR CIRCLE
05/11/2005 13:51 FAX 434 974 6870 C&F MORTGAGE CVILLE
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10 002/003
Application for Zoning Clearance
Loniag Clearance - S35
PLEASE REVIEW ALL 3 SHEETS
PARCEL INFORMATION (o ! 12.9 F
Tax Map and Parcel:
Parcel Owner:
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APPLICANT INFORMATION
Who should we call/write concerning thin project?
LE # E USE ONLY ,
Check # Date:
Receipt # Lo I KU Staff. �►'L-3
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Address: CIC) `lttle-1 ` �AVL CiP.GI.G City N % VILLtG State N/A. zip.22pp�
Office Phone: rd �a�en # L64 2.qq l pY # u34`�1 D �1 email 5 r U
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PROJECT INFO]
Business Nanwril 7w.
Previous Business on this site: MV\Q"' _ 1j%U0 � �(
Proposed use; c-" -SL,
Cdi(tr applicable): Fireworks
CONDITIONS OF APPROVAL IF CE IS FOR F EEWORK OR CIIMi 7?dAS TREE S ES (SheeU)'
*nis Clearance will only be valid on the parcel for which it is approved. If you change, intensify or snow the use to a new location, anew 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.nll abide by there.
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A]PIRROVAL INFORMATION
Approved as proposcd
( }Approved with conditions
Building Official Date S" �S-
Zoning Oliidal
Date C5 zzsks_,._..........�.
Other Official Date
------------- ----------County of Albemarle Department of Community Developimen#-------------•--------".. ____
401 McIntire Road Charlottesvl>le, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
05/11/2005 16:17 FAX 434 978 0118 690 BERKMAR CIRCLE g1003
05/11/2005 13:52 FAX 434 974 0870 C&F MORTGAGE CYILLE 003/003
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 squsre.footage of each room or anew of use;
d) Note the use of each room or area of use.
Intake to complete the following: '
Y j N J Is the use in a LI, M or ?DIP zoning?
���� If so, give applicant a Certified Engineefs Report (CEP.) pa*t.
Can not issue until CER is approved by the County Engineer.
Y G 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 /E)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 sewer7
N Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit, Permit # 1 1MTj��CJY
Will there be any new construction or renovations?q4eIf so, obtain dte properPennit. Permit # �
Y V Is this for sales of Fireworks? -
If so, obtain a copy of F/R perniit. Permit #
Zoning Tech to complete the followlag:
List: ty 1
Y 'I PN j if so, List
to complete the
square footage of Use: is19 )
Under Section: ?OA .6 -•} Z►rIA O` ' A /sp ocl-w
I
Y / N If so, List: A?) J �
41 lip
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Permitted as:
IV
Supplementary regulations section:
Parking formula- l 6jo0¢djd/. _24c _ Required spaces: 2
Y 1[jbT Items to be verified in the field: