HomeMy WebLinkAboutCLE200500162 Action Letter 2017-08-01application for Zoning Clearance 6 - -
OFFICE USE NLY
❑ Zoning Clearance = S35 CLE #
Check # - Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: TM 3 PA�'� q Existing Zoning
Parcel Owner: TAP -Cm FIT
Parcel Address: 3 Zq4 61EM 140L E Rm u City C4A&!9U' i' Mll.l6 State —VAS _Zip -rLq i 1
---.(include suite or iloor)---------------------------------------------------------
APPLICANT INFORMATION
Who should we call/write concerning this project? Q F=A3tRJ!AD i LEA
Address: 39-00 51E1V1 1NDt-F-:[P,4L1— City _ _ Vlt.lm5tate _ YA Zip �Lql j
Qt[o-51�—�q i3 1'7 3
Office Phone: Fj—17Q�Ce11 # ax #, L- 74 5 E-mail % l �+al a r�. cepp
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PROJECT INFORMATION
Business Name/Type: t{— : d
Previous Business on this site: \4 k C L- L-S 1= o L U &-� s
Proposed use: V I SGD uL " ST(D 1QE
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 anew 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 Printed_ i ER42-Y V At JD 141-1—A.
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APPROVAL INFORMATION
( ) Approved as proposed
with conditions
Building Official Date G II
Zoning Official Date _ 19:;11.5-Zae
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
th 1 ti with'. the structure
a) If using less than the entire structure, note e oca on i
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. 1
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.
N Will there be food preparation?
If so, fax application to Health Department. FAX DATE 6
Can not issue until we receive approval from Health Dept.
Y 1(DIs 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.
a
N Is the parcel on public water and sewer?
N Will you be putting up a new sign of any kind? � ��-lf�S
If so, obtain proper Sign permit. Permit # 6�f //
CQ f`
N Will there be any new construction or renovations?, /0� % ; `j�l N�
If so, obtain the proper Permit. Permit # (�,j�V�°
Y 1 i Is this for sales of Fireworks?
If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
Violations:
Y I N If so, List:
1 N If so, List
Permit #
Reviewer to complete the following:
Square footage of Use: )I2 i , scx)
! Under Section: 2, 2..1 -i 9 Z . `3-)
_
! Parking formula:
t
iY I N Items to be verified in the field:
N1 If so, List:
Permitted as:
Supplementary regulations section:
Required spaces: