HomeMy WebLinkAboutCLE200500149 Action Letter 2017-08-01Application for ZoningClearance qnimp's"
OFFICE USE ONLY
Zoning Clearance = $35 CLE # 1419
7 7-
Check # - Date•
PLEASE REVIEW ALL 3 SHEETS Receipt 0 /0�0/ _ Staff:
PARCEL INFORMATION
Tax Map and Parcel: a Existing Zoning ! d
Parcel Owner: VI h y a �S <<} 'r i rr-� '# r-w_ CA r-r 7-n G.
Parcel Address: 13� 6NVA f 0 CL city _ i.(_)DA-ACLSUr 1ItState V Zap 9a`� 1 +
5include suite or floor ______________________________________ _
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APPLICANT INFORMATION
Who should we call/write concerning this project?
I
Address:-? 51 a City Uf J 1t5tatey V ZipK3ol5 U j
Office Phone: Lab a q&-7S9 5-Celi # 53)-4VO 3 Fax - JI E-mail & kjo a o S_Gt�,rl
PROJECT
Business Nam
Previous Business on this site:
Proposed use:
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet3)
*'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 owners 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, have read the conditions of approval, and I understand them, and that I will abide by them.
Signa ` Printed ZXelnA /�, zt lS4
APPROVAL INFORMATION
{ ) Approved as proposed >JApproved with conditions
Building Official - _-
Zoning Official
Other Official
Date 1,, r o
Date C'r3 Jac;
Date
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County of Albemarle Department of Community Development
401 McIntire Road CharlottesvilIe, VA 22902 Voice: (434) 296-5832 Fax: (434)
972-4126
3/3/2005 Wage : v.
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 /0 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 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 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 0 Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y I6N Will there be any new construction or renovations?
LLJJ If so, obtain the proper Permit. Permit #
Y /N Is this for sales of Fireworks?
If so, obtain a copy of F/R permit.
Zoning Tech to complete the following:
Violations:
Y / N If so, List:
Variance:
Y / N If so, List
Reviewer to complete the following:
Permit #
Proffers,
Y / N If so, List:
SP's:
Y / N If so, List:
Square footage of Use: a d Permitted as:S�Czak
Under Section: Ilk I've KWO -Q - Supplementary regulations section:
Parking formula:
Y. 1 V I Items to be verified in the field:
Required spaces: