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CLE200500156 Action Letter 2017-08-01
Application for Zoning Clearance OFFICE USE 3 ❑ Zoning Clearance = S35 CLE # Check # Date; PLEASE REVIEW ALL 3 SHEETS Receipt# suq Staff: PARCEL INFORMATION Tax Map and Parcel: ? t7 -- a — - oa M G Existing Zoning Parcel Owner: C&EIF B i .DC- L n/3 7Rv5 C-W- a wwty, fi C fvtj L L C Parcel Address: ©� EE i � L�a� City CrIR�I o ES✓ilI& State V d► — Zip Z 2 q► ! -----(include suite -- i]oor)- ---------------------------------------------------- ---------------------- clud ------ --------------------------------------- APPLICANT INFORMATION Who should we caWwrite concerning this project? Address: gitl ccbdei, c.uev+ # /- # City /y/4 NPtSS,#4 S State L41 _ Zip Q'► la 9 Office Phone: (_±!M--8Q(-_ Cell Fax # 7a 25 u E-mail J5 EF'H fl 16) Al'Sw,C-a", PROJECT INFORMATION Business NamelType: C Ay -7t R 101E 1 5 o5 Previous Business on this site: %%rFde!f'r Proposed use: rO/4 If _ra L es O F _ _t *f E'er 11!6 _ _- Circle (if applicable): ire / 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 etW4 /0t_✓ '" ' Printed lloSeP H lq:,s tl6-1-tA S ii APPROVAL INFORMATION ( ) Approved as proposed (X) Approved with conditions 1 =WM I i;.►�ri��i�r�r Teoather-Ofiidal Date��`�''�� ------------------------------•----------------------•--•-•--------...._-------------------------..._....------------------------------- --- County of Albemarle Department of Community Development 401 eIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126 3/3/2005 rage z. 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 / 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 I N 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 I N� 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? N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit #_ 6 +`T6 Y 1 a Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # 1 N Is this for sales of Fireworks? If so, obtain a copy of FIR 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: Under Section: YU Ai J/, Proffers: Y / N If so, List: Permitted as: Supplementary regulations section: Parking formula: Required spaces: Y I N Items to be verified in the field: