HomeMy WebLinkAboutCLE200500147 Action Letter 2017-08-01Application for Zoning Clearance
OFFICE USE ONLY e omos iy
Zoning Clearance = 53S CLE # 7
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: ST E
Parcel Owner: �Ud,�Ary"J'c. - 132
Parcel Address: City
--------------- include suite or floor
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Existing Zoning R 1
State
APPLICANT INFORMATION /
Who should we call/write concerning this project? _ 0 1�'/q1 1
Address : �4..1 7576 4Lt f r t N , Rt� ; City M1 �L.' C. State _
Office Phone: (__) (),p - 7,�q4 Cell # 4+31 J/ Fax # E-mail
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PROJECT INFORMATION
Business Name/Type: a d • D
Previous Bush
Proposed use:
22
Zip
zip
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 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 b f my kn edge. I have read the conditions of approval, and I understand them, and that I will abide by them.
-1
Signature Z 0 5 Printed - i2 C
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APPROVAL INFORMATION
proved as proposed { ) Approved with conditions
Building Official Date I [ eJ
Zoning Official _ Date CZ I b.s'
Other Official
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
3/3/2005
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) :Mote the total square footage ofthe'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 ION 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 / 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.
Y �/ N Is the parcel on public water and sewer?
./ � 4
Y / N Will you be putting up a new sign of any kind? Nl - ry- �
If so, obtain proper Sign permit. Permit #
Y I N Will there be any new construction or renovations? .2
If so, obtain the proper Permit. Permit # [� ��J SF A
Y /a Is this for sales of Fireworks?
If so, obtain a copy of FIR permit. Permit #
Zoning Tech to complete the following:
Y / N If so, List:
Variance:
Y i N If so, List
Reviewer to complete the following:
Square footage of Use:
Under Section: Aabitr,,MbraA AA nM-.►.t.
Proffers:
Y / N If so, List:
SPIs:
i' / N If so, List:
C, V6At "d'V'i j 85 f
Permitted as: �J ✓
Supplementary regulations. section:
Parking formula: 1 .nw 2=01F`. 4 g= Required spaces:
Y 1 Items to be verified in the field: Z..