HomeMy WebLinkAboutCLE200500159 Action Letter 2017-08-01III( 011TY DEVELOPMENTi Fax 4349724126 Jury 6 2305 12:53as Pool 00
,-,Application. for Zoning 'learancc f%°wl
❑ Zoning Clearance S:iS O"XIC US] ON
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Check # • lastte:
]PLEASE REVIEW ALL 3 SHEETS �. Receipt # to e.
PARCEL INFORMATION
T&X il+iap and P reel: cc — 'bis"ag .Zoning
Parcel Owner -
Parcel Address-. Q .
State—
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APPLICANT INFORMATION
Wbo sbould we calij*rite Concerning this project? � 1 C li . 05,60 UR445
Address : I C) f & ►k cj pity AtA rlG mcs vauktat' 11q. P :_...`J
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Office Pitane � Fax # 975+-s13z*
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pROJECT INFORMATION -----------
Business NamaJType: DICK5 S.Po e ld l- koj> 5 _
Previous Business on this site: z g-" t'3s
PmPowi ttsa: 5646
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Circle (if awlicable): Fireworks / Ghristrnes Tree
SEE CONDMONS OF APPROVAL IF. THE CLEARANCE IS FOR FIREWORK on CMtIS'rMAS TRi E SALE$ (Sheet3)
*'Phis Clearance Will only be'valid on the Wr which it is approved. Ifyou change, intensity or rWvc the Use to a new 1 Clemewe will be required. ociion, a ntw Zoning
I hereby certify that 1 own or hev� N owner's scion to use the space indicated on this application. I else certify and aimme to the lx ef [ have tad the nditiom of a vaE aad I u�prup� ifY that the infnmiadoo y d d is
pPm them, and that 1 will "e by them
%pature
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APFROVAL INFORMATION: --
Building Oliicial Date.
zonjug Offieial Date , ft
Other Official Date'
County. Of Albemarle Depar#mofent Community Development ------------------- - -
401 Wr.Tntiro Read r bsbrtn*#"%ilio V A •l7OW Vnino- tA-1A% 74A-,9*j,7 Ti'nr- f aatti d'7? A7 7 - -
COMMUNITY DEVELQPMENTI Fax 43d972d126 Jun B 2005 12:53pm P092/002
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 rootn or area of use-,
d) Note the use of each room or axes of use.
Intake to complete the following:
Y / g) is the tac in a L1, HI or PDIP zonhwl
If so, give applicant it Ccr6ficd Eaagiaurer's Report (CER) packet.
Can not Issue until CER is approved by the County En&eer.
Y lwl�' Will there be food prepamti(n7
If so, fax application to Health Depart=nL FAX DATE
Can not issue, until we receive approval from Health Dept.
X /F) Is the parcel on private well and septic?
If so, fax application to Health Department. FAX DATE
Can not issue until m receive approval from Health Dept.
Y) N Is the parcel onpublic water and sewer?
Y rC�> Will you be patting up a new sign of any kind?
If to, obtain proper Sign paradt. Parnit #
Y /O Will there be any mm construction or renovation?
If so, obtain the proper Permit. Permit #
Y r T� Is this•faar sales ofFireworla?
If so, obtain a copy of 1±/R permit. Permit #
Zoning Tech to complete the follawiing:
r0"
: If so, List: Y / N - If so, List:
Y I If so, List Y It)
N If so, List:
scevtewer to complete the
Square footage of Use. e VOO TE,+_r' -- Petxmitted as•
Under Section: ea6e-, � em—MV 4 - - Supplementary regulations.section:
Parldng formula:
Y 44V TW= to be verified in the fell;
Required spaces: