HomeMy WebLinkAboutCLE200500155 Action Letter 2017-08-01A olication for Zoning Clearance4 P ba:y'a pc'' I - r
❑ Zoning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS
OFFICE SE ONL ,
CLE #
Check # LM Date:
Receipt # Staff: 1--A
PARCEL INFORMATION
Tax Map and Parcel: 01106 - 0 — m 11 00 _ Existing Zoning;#FEff:P 1) M C
Parcel Owner:
Parcel Address:_,51�� Par N S1 S eity '?Jl�+S zauL��4l_ State \JA zap
Include suite or floor
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APPLICANT INFORMATION
Who should we call/write concerning this project? LC�J�Oi
Address: �Z P : r�Ue� C S city�� LAU - State
Office Phone: 614 a�q lo- l X-N Cell It
PROJECT INFORMATION ,'
Business Name/Type: i i + a i - ��-" so I Pf
Fax # aj(-t(o` 1`646t E-mail r `'eh- { TV, f� '—i" L L'rk-,
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Previous Business on this site:
Proposed use- S-va-k
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 best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature 4 1 �,�1 Printed
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APPROVAL INFORMATION
( ) Approved as proposed { ) Approved with conditions
Building Official
Date
Zoning Official Date ��a5
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) 972-4126
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' 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 /a 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 4a 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.
I
Y / 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 is Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y /G. Is this for sales of Fireworks?
If so, obtain a copy of F/R permit. Permit #
Zoning Tech to complete the following:
Violations:
Y / N If so, List:
Variance:
Y / N If so, List
Reviewer to complete the following:
Square footage of Use: 2�I►3
Under Section: 26A Z. 1 - 2,!' 2'z • Z• l . �b��
Parking formula: lapifew �3� _ /. d—
N Items to be verified in the field: gn �r
Proffers:
Y I N If so. List:
SP's:
Y J N If so, List:
Permitted as: _
Supplementary regulations section:
Required spaces: