HomeMy WebLinkAboutCLE200500151 Action Letter 2017-08-01Application for Zoning CleArance
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� OFFICE USE ONLY
M", ning Clearance — $35 CLE #
Check# 7f_3 Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # itIQ Staff:
PARCEL INFORMATION
Tax Map and Parcel- v - C7 �7 - c> - existing Zoni'nLF
Parcel
V1_ - C - 0- [ 1�k io`I r
a
Parcel Address: City L (KJ- State V% , zap
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............................5include suite or floo---------------------------------------------------....------------------------------------------------------------
APPLICANT INFORMATION 1 �,--
Who should we call/write concerning this project?
Address: i. co,,. r~✓iC aj City state_�G _ ZiprZ
Office Phone: L'b dA�.-- 1 -Cell '# C1C3 s71G Fax # E-mail
PROJECT INFORMA
Business Name/Type:
-6:�' 0 rr fc_�
Previous Business on this site: 0 [CQ
Proposed: use:
Circle (if applicable): Fireworks I Christmas Tree
SEE CONDITIONS OKAPPROVAL 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 infonnation provided is
true and accurate to th es'
of my knowledge. I have read the conditions of approval, and I understand. them, and that I will abide by them.
Signature Y Printed
APPROVAL INFORMATION
( ) Approved as proposed
Approved with conditions
�Psr l m Q"uiSion
Building Official Date c,--
Zoning Official Date
�AEhtr Official 4"
Date o 6- oz.!. o S
....-------------- ----Albemarle Department of Community Development -----------------------------
A[11 M..T-.ti. VA I)IJO ) 17.- 1A1A% "4 9911 Ti..... fA1lAN 40719 Al-e
2 of 3
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 118 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 I Will there be food preparation?
If so, fax application to Health Department. FAX ]SATE
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 DeparmenL FAKDATE
Can not issue until we receive approval from Health Dept.
/ N is the parcel on public water and sewer?
70 Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y 1 Will #here be any new construction or renovations?
If so, obtain the proper Permit. Permit #
N Is this for sales of Fireworks?
If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
Vi tlo s:
Y N If so, List:
Variance.:
Y 1 N If o, List
Permit #
If so, List:
Y Y N 1 11 so, List:
Reviewer to complete the following: f�, _'
Square footage of Use: � a✓ =a2 Perrnitted as: sanJ !;415
Under Section: Ami �i� 11VA 1 Supplementary regulations sectioa:
Parking formula: o Required spaces:
Y 1 ® Items to be verified ir the field: