HomeMy WebLinkAboutCLE200500161 Action Letter 2017-08-01r plication for Zoning Clearance
V�RCiR�IP ..
OFFICE U E ONLY
❑ Zoning Clearance = S35 CLE #
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
PARCEL INFORMATION �f
Tax Map and Parcel: ��� _ _ _ U4cCt Existing Zoning_
Parcel Owner: E- C_S
Parcel Address:_ ZZIy IVV 12O4 Sol, 3V3_City ,ter l'bt16 State ✓e, Zap lr° C,3
(include suite or floor)
APPLICANT INFORMATION
Who should we caIl/write concerning this project? (1—r-, Jti ��lqi c�ro� . CPA y
Address: _ x 9 1 V!J (44 SL44 303 City Ck1 SJI State ri Zip 7_ °0
Office Phone: (.13 b 9 71. 9 7 �q Cell # 2 t(q - IB20 Fax # E-mail hi' f s... vtd
----------------------------------------- -------------------------------------------------------------------------------------------------------
PROJECT INFORMATION
Business Name/Type: _ _ Z -Z %k i (T_ $ a,vr�•.,
Previous Business on this site: S Ck-VA t'
Proposed use: 50CM&
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 1 own or have ees permission to use the space indicated on this application. I also certify that the information provided is
true and accurate to the t of y know ge. I have read the conditions of approval, and 1 understand them, and that I will abide by them.
Signature Printed Pre av /� 0" �
APPROVAL INFORMATION
( Ls),i�pproved as proposed ') Approved with conditions
Building Official Date G f t� -
Zoning Official Date C%q (AS
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
3/3/2005 P
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) Dote 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 10 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.
IJN Will there be food preparation?
If so, fax application to Health Department. FAX DATE (n ' 7'
Can not issue until we ceive approval from Health Dept.
47a - aat
Y 11E) 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(NWill you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y "V Is this for sales of Fireworks?
If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
Y 114 j If so, List:
(Nar,.iance:
6 / N If so, List
Reviewer to comple fcdbwing:
Permit #
Pro er
Y / N f so, List:
r
SP'
Y N )If so, List:
Square footage of Use: Permitted as:
Under Section: ZK.2 . 1 Supplementary regulations section:
Parking formula: k i Required spaces: 'z
Y �I Items to be verified in the field: