HomeMy WebLinkAboutCLE200500157 Action Letter 2017-08-01pplication for Zoning Clearance " =
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OFFICE USA ONLY
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Zoning Clearance = $35 CLE # nO Check
PLEASE REVIEW ALL 3 SHEETS Receipt # 1 Date:
�j. Staff:
PARCEL INFORMATION
Tax Map and Parcel: r76/o 0 —Do _ 0a
Existing Zonin
Parcel Owner: oPfZ& 6- N�f Aorc A S C/a "Mvry X
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Parcel Address: �o r o
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City Lo �Sv tate��• zip �2�101
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-- ----�--------------suite o-------- floor --------------------------------------------------------------------------------------------
APPLICANT INFORMATION
Who should we calltwrite concerning this project? ve �P H f}r�r`q cc (A S f 1
Address:_ CC!(j dE' Cortl W701 City M*fVll f s State VA
Office Phone:3) — 13 / Cell # �:a3 Z-Q+{Faz #
E-mail i/os%'Q11 v) %7SN-ems-.
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PROJECT INFORMATION
Business Name/Type: -:5-
Previous Business on this site: flII;- S Irk M S u V4 "-X A I r
Proposed use: '� P S ALP- S
wo ��
Circle (if applicable): &,ork / Christmas Tree
SEE CONDITIONS OFAL IFTHE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet3)
*'Mis Clearance will only be valid on the parcel for which it is approved. If you change, intensify Clearance will be required, or move the use to anew location, a new Zoning
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
tare 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
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APPROVAL INFORMATION
( ) Approved as proposed
_ _ _ _ Approved with conditions
Building Official Date �j,
Zoning Official Date 47 -2bU7
Official
Date 64'67- or
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County of Albemarle Department of - -e---- "- ""-'
Community Development --------------------------
401 Mclintire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: t4341972-4126
3I3/2005 Pag;.•
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 I(3N Is the use in a LI, Hi or PDIP zoning? et.
If so, give applicant a Certified Engineer's Report (CER) Pack.
Can not issue until CER is approved by the County Engineer.
y /�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 �D Is the parcel on private well and septic? F• AX DATE
If so, fax application to Health Department.
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? nn
If so, obtain proper Sign permit. Permit # ............
Y 1 Will there be any' new construction or renovations?
If so, obtain the proper Permit. Pernut #
Y� N Is this for sales of Fireworks?
If so, obtain a copy of F/R permit. Permit #
Zoning Tech to complete the following:
n:so, List:
MN
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:1,-,List
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Reviewer to complete the following:
Square footage of Use:
Under Section: MVA
Parking formula:
Y I N Items to be verified in the field:
Pr s:
Y j e If so, List:
Y %N I If so, List:
Permitted as:
Supplementary regulations section:
Required spaces: