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HomeMy WebLinkAboutCLE200500143 Action Letter 2017-08-01P -ti AL Application for Zoning Clearance OFFICE U E NLY CLE # QS— l ❑ Zoning Clearance = $35 Che -k it Date: PLEASE REVIEW ALL 4 SHEETS Receipt 4 Staff: PARCEL INFORMATION Tax Map and Parcel: L 1 7-4 ,8 Existing Zoning b - Al C— Parcel Owner: to b I)E V IFLo P ffl a "f- Q- Parcel Address:- 09-L P110 6416-r COVizT City _ C 1%/i uE _ State _ �!/'C Zip -17-9V 1 (include suite or floor) APPLICANT INFORMATION �,� /V C 5-7- G� P U rs-1� Who should wwescall/write concerning this project., � Address: 99913 41a 6-As:7- C I-; city C #4 A Cc 7 T' cw/ 4fe yA zip zZ9Ji Office Phone: 3) q7 ff - 7/ 0 0 Cell # Fax # -q 7 if 0 E-mail ----------------------------------------------------------------------------------------------------------------------------------------------- PROJECT INFORMATION Business NamelType: Ii t© F +"^ I L- y r, t: 0] C r /N A1C,9I C A L p jr�rI C 6' Previous Business on this site:_ AJVNC - N ELJ e0t41T1-UCt-t12/J Proposeduse:_ MEDIckc- g2aie, _ Circle (if applicable): Fireworks / Christmas Tree SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1) *'Phis 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 I understand them, and that I will abide by them, Signature 11.t C/ d .�-^'4 Printed �/v � 5 r () . Igo U (,-,q APPROVAL INFORMATION { } Approved as proposed ( Approved r� Building Official Date -S:- Zoning Official Date _ C Other Official Date - - - - - - - - - -- - - - - -- - - - - -- -- - - -- - - - - --- - - - - - - - - - - - - - - -- -- - - - --- - - - - - - - - - - - - - - - - - - - - - -- - - - - -- - - - - - - - - - - - - - - - - - - - -- - - - - -- - - - - -- - - - - - - -- - - - - - - - - - - - - - - County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 3/28/05 Page 2 of 4 Applicant to complete the following: N �)Y ou have one of the following? Tax Map and Parcel Number and or; Address of use (include unit or floor if appropriate; Dy� have a Floor Plan (sketch or an architectural drawing) that includes the following, and if so please provide it with the application? Vhe total square footage of the use and/or; The square footage of each room or area of use; Use of each room or area If using less than the entire structure, note the location within the structure. ,oning Tech to Violations: Y1 If so, st: VananWivow— yooqr- If so, List: the Intake to complete the following: Y l Is use LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y ykD Wilr6ere be food preparation? If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Is/ Is p el on private well and septic? If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE PoNn public water and sewer? Y /6C.) Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y/N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # YIN Is this for sales of Fireworks? If so, obtain a copy of F/R permit. Permit # YJN o, List: & 5P's: Y 1_1_=� Viso, List: 3/28/05 Page 3 of 4 WvitNye r to complerr tht Futfowing: Square footage of Use; 3� } �'ermitia[f ns_ �y.A.� Under Section: ZSA .2. p1 2 • t (2) Suppierwritary m lations sect,ou; P."kiug f,equifed Spaces: lID Y,N _ $tans is be vcrified is the fMd= ' r Inspector Itinm,- & Date: Notes 3/28/05 Page 4 of 4 Clearance Applicant MUST HAVE the following information to apply for a Zoning Clearance: OCCUPANCY 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. Conditions of Approval FIREWORKS: 1. No person shall sell, offer for sale, store, display or discharge any fireworks in any filling station or on any premises where gasoline or other inflammable liquids are stored or dispensed. (Code I967 10-13.) County Code Section 6-200 and 6-300 and must be a minimum of 100 ft from any gas pumps/propane distribution tank. 2. The site shall be cleaned and restored to its original condition on or before July I Ith. This shall include removal of all structures, signs, debris, and the like. 3. A thirty (30) foot front setback shall be maintained, Display shall be located so as to avoid traffic congestion. Modifications subject to Zoning Administrator's approval. 4. Building permits shall be obtained for all proposed structures and/or lighting. 5. Sign permits shall be obtained for all proposed signage. CHRISTMAS TREES: 1. The outside storage of combustible material or flammable materials shall be located so as not to constitute a hazard and shall not be less than 15 feet from any building on the site. Any open burning must comply with the Virginia Statewide Fire Prevention Code and the Albemarle County Code. 2. The site shall be cleaned and restored to its original condition on or before January 2. This shall include the removal of all structures, signs, debris, and the like. 3. A thirty (30) foot front setback shall be maintained, Display shall be located so as to avoid traffic congestion. Modifications subject to Zoning Administrator's approval. 4. Building permits shall be obtained for all proposed structures and/or lighting. 5. Sign hermits shall be obtained for all Dr000sed sienaee. 3/28/05 Page I of 4