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HomeMy WebLinkAboutCLE200500152 Action Letter 2017-08-01Application. for Zoning CleArance o OFFICE USE ONLY BI&O"ning Clearance - S35 CLE it a7Y �s Check# W34. Date: r PLEASE REVIEW ALL 3 SHEETS Receipt # Ab Q�)l Staff: PARCEL INFORMATION Tax Map and Parcel: _ M-0 0 wCho _ _ 01000 Existing Zoning_-..HC_ Parcel Owner:_ Parcel Address: i �. L44 iLALA, rna,i� Q-3 City - �'t� State _��G, Zips include suite or-- door ......................... ; INFORMATION Who should we call/write concerning this project? Address : City GjW1 (it - State V o. Office Phone: 01Uq 4 ax # E-mail Zip'.ZA L 7 PROJECT INFORMAL'ION--------------------------------------------------------- ---------------------- L_ Business Name/Type: Cm �- (L S rl+� J UN © 2 2095 Previous Business on this site: l.t_ 3 ­,5,c Proposed use: Sw-L�• Circle (if applicable): Fireworks / Christmas Tree SEE CONDITIONS F AL 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 ownees permission to use the space indicated on this application. I also certify that the information provided is true and accurate to th st of my knowledge. I have read the conditions of approval, and I understand, them, and that I will abide by them Signature Printed {� J ^ ................................... --............................................................................. •-----------................ APPROVAL INFORMATION ( ) Approved as proposed ()() Approved with conditions usi, W 1V T49 f tµr T 1 Dr, AP& V00-ewnaw ORE. Building Official Date Zoning Official Date S r 1 G (Q-3 jgFOther Official Date G(o - o 2 - 05r •-------------•-------- / ----------------------------------------------------------------------------------------------------------------------- County of Albemarle Department of Community Development AM %T A '-'ann'9 E7r- /4'f A\ "Poe 9!9'2'9 l __. lAA 41'7'4, 44+e 4 on 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. betake to complete the following: Y (DN 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? v If so, fax application to Health Department. FAX DATE Cannot issue until we receive approval from Health Dept. Y I i 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 / N Will you be putting up a new sign of any kind? -If so, obtain proper Sign permit Permit # Y tWill there be any new construction or renovations? If so, obtain the proper Permit. Permit # ^a Y IJ N �Is� this for sales of Fireworks? Ifsd, obtain a copy of FIR permit. Zoning Tech to complete time following: so, List: If so, List Permit #. If so, List: Ilzbf so, List: Reviewer to complex the following: Square footage of Use: Permitted as: SOM Under Section: 1 i "+dti Supplementary regulations section: Parking formula: Required spaces: Y. /N\ Items to be verified in the field: