HomeMy WebLinkAboutCLE200500141 Action Letter 2017-08-01Application for Zoning Clearance 5ry
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OFFICE USE ONLY
ZZoning Clearance = $35 CLE #
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff-
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PARCEL INFORMATION
Tax Map and Parcel: _ Existing Zoning_
Parcel Owner: lid NOV -
Parcel Address:
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APPLICANT INFORMATION
Who should we call/write concerning this project? _ rr :5-1rA a1.61Wzf51C Address : �3 S0 cRerwa.uot , �Q. U Lc ' city d �cc� Wr,01.0r(e
State ✓►4 Zip Z-Av/
Office Phone: � 9 tZ- f g8/ cell # Fax # Fr t63 E-mail
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PROJECT INFORMATION
Business Name/Type: 1 yUl PR►�
Previous Business on this site: Save
Proposed use:
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Z-71 z4I
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
true and
I own or have the owner's permission to use the space indicated on this application. I also certify that the information provided is
e best of my kngwledge. I have read the conditions of approval, and I understand them, and that I will abide by there.
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PROVAL INFORMATION
Approved as proposed
( ) Approved with conditions
Building Official Date '#
Zoning Official Date
Other Official
Date
--------------------------County of Albemarle Department of Community Development------------------------------
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5532 Fax: (434) 9724126
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Applicant MUST HAVE the following information to apply:
Tax Map and Parcel or Address with unit number or floor if appropriate.
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 ION 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 1 NO 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 ON 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?
Y 1 N Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
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Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y ION Is this for sales of Fireworks?
If so, obtain a copy of FIR permit. Permit #
Zoning Tech to complete the following:
Violations:
Y 1 N If so, List:
Variance:
Y ! N If so, List
Reviewer to complete the following:
Square footage of Use:
Proffers:
Y I N If so, List:
SP's:
Y / N If so, List:
Permitted as: 4 C��Z�
Under Section: Supplementary regulations section:
Parking formula. eq*red spaces:
Y ! N Items to be verified in the field: