HomeMy WebLinkAboutCLE200500164 Action Letter 2017-08-01_ fps
Application for Zoning Clearance
Y�Rctrt�
OFFICE USFj,U Y
El Zoning Clearance = $35 CLE # o ! (�
Check # LddAel
Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff: aQ 0--
PARCEL INFORMATIO
Tax Map and Parcel: A��NnC� 1a_C �� Existing ZoningP��_ _- c
Parcel
Parcel
...........................(include suite or floor) -
APPLICANT INFORMATION r
Who should wp ccalllw to concern! g this project? CS. "af// 1P_ `ice mot,
Address: R 'k"" City (./ _,rt_,4 State VA Zip 22cf'o
Office Phone:.) c)q -- `7c 3 2— Cell # Fax # E-mail
•------._---------------------------------------------------------------------------------------------------------------------------------------
PROJECT INFORMATION —
Business Name/Type: 0& f���vfcX� Lam+ vatic ���
Previous Business on this site: Ma✓Q+?
Proposed use: �'"�f G�����rt F.:��{v�� __ •_ Circle (if (if applicable): Fireworks 1 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 '+ �` Printed
------------------------------------------------------------------------------------------------------------------------------------------------
APPROVAL INFORMATION
�►pproved as proposed pproved with conditions
ls✓
Building Official Date r' t 0(0 j
Zoning Official �� �- Date los
Other Official Date
................ --------------------------------------------------------------------------------------------------------------------------------
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
Applicant MUST HAVE the following information to apply:
1) Tax Map and Parcel or Address with unit number or floor if appropriate. ,
2) A FIoor 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; haM
d Note the use of each room or area of use. ' -g7
Intake to complete the following: CCCOb-'-J��
Y 1 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 /Oiwf
ill there be food preparation?
so, fax application to Health Department. FAX DATE
Can not issue until we receive approval from Health Dept.
Y 1 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?
ye/ N Will 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 #
Ys this for sales of Fireworks?
Of so, obtain a copy of F/R permit.
Zoning Tech to complete the following:
V' atio s:
Y /[ N I I£ so, List.
Y VI N ) If so, List
Reviewer to complete the following:
Square footage of Use:
t g5l�
Permit #
Y f N JIf so, List:
so, List:
Permitted as: 1" _
Under Section: Supplementary regulations section:
Parking formula: & . 1 2oCJ Required spaces:
Y. � Items to be verified in the field: