HomeMy WebLinkAboutCLE200500139 Action Letter 2017-08-01Application for Zoning Clearance
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OFFICIm-
Check Y
Zoning Clearance - $35 CLE # # Date; -
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
PARCEL INFORMATION i
Tax Map and Parcel: _ _ % I l - wExisting Zoning
Parcel Owner: f1YMfl& LftV —MAq-
Parcel Address• ccr(W1ez '�Sy _
-__(include suite or floor _
State Zip 2mo4
APPLICANT INFORMATION
Who should we call/write concerning this project?
Address :lan &C ►f's�o�d(A .a _. City clAay[4cwkstate lJlri Zip
Office Phone: 4_A�3 3 [ Cen # `T -Fa� # E-mail ��5� t [ d �n �il�� • �jY�}
PROJECT INFOI
Business Name/Type:
Previous Business on this site:
Proposed use:
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Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet3)
*Iris Clearance will only be valid on the parcel for which it is approved If you change, intensify or move the use to a new location, a new Zoning
Clearance will be required.
I hereby certify that I own or have the owner's permission to use the space indicated on this application. I also certify that the information provided is
true and accurate to the best of my knowledge. I have read the conditions of approval, and 1 understand them, and that I will abide by them.
SignatureQW& 1t r l T3Vl Printed2,jVX V t ;M _ F1 U Kam.
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APPROVAL INFORMATION
( ) Approved as proposed
Building Offciaf"
Zoning Official
Other Official
( ) Approved with conditions
Date �-y
Date DS I$ aCD
Date
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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. SP O(W3 -1 V
`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:
DOIs 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 IO 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 1 �1 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?
N Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y�
Y
Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Is this for sales of Fireworks?
If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
olations:
I N If so, List:
(t10 - Zoo# -f 11
Variance:
Y I N If so, List
Permit #
Proffers:
Y 1 N If so, List:
Y,l N If so, List:
SP- 2003-&rl
Reviewer to complete the following:
Square footage of Use: 3 i DtC7 Permitted as:
Under Section: 5r-- R t6 3 , p 8q Supplementary regulations section:
Parking formula: U215 5 Required spaces: eZ 5 a�l.S
Y f N) Items to be verified in the field: