HomeMy WebLinkAboutCLE200500140 Action Letter 2017-08-01Application for Zoning
❑ Zoning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS
Clearance
OFFICE USE ONLY
CLE #
Check # Date:
Receipt # Staff -
PARCEL INFORMATION
Tax Map and Parcel: jn('�A 00 _ O® O --- f �J') ® C7 Existing Zoning .� C_
Parcel Owner:
Parcel Address: ebts-k elf) I svl City e-6o'"16*41C_ State VA Zip A2'i:3�
(enckude suite or floor)- -------------------------------------------------------
APPLICANT INFORMATION
Who should we call/write concerning this project? V-0122
Address: jr, l Rrw L A4 _ � aCity State J,ia Zip . 01` 7
OfficePhone: (W 'Lb[-da gJf1 Cell # Fax # 76f -oJ'b9 E-mail sp jb,
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PROJECT INFORMATION
Business Name/Type: 1;eJ C 1 Fl JQi A 6 9! G R LLE 1 1-1
Previous Business on this site:
Proposed use:
r . 1
Circle (if applicable): Fireworks / Christmas Tree
2
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 best of m knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them
Signaturek Printed rz
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APPROVAL INFORMATION
gwpproved as proposed ( ) Approved with conditions
Building Official Date j 1_4 l os`
Zoning Official Date
Other Official Date
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County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 2%-5832 Fax: (434) 9724126
2oi5
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 / N 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 /0Will there be food preparation?
If so, fax application to Health Depamnent. FAX DATE
Can not issue until we receive approval from Health Dept.
Y 19
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.
I N Is the parcel on public water and sewer?
Y / N Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y 1 N Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
t
Y N )Is this for sales of Fireworks?
If so, obtain a copy of F/R permit. Permit #
Zoning Tech to complete the following:
so, List:
so, List
Reviewer to complete the following:
Square footage of Use: Permitted as: e—
so, List:
so, List:
Under Section: Supplementary regulations section:
Parking formula:
Y Items to be verified in the field:
Required spaces: