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HomeMy WebLinkAboutCLE200500166 Action Letter 2017-08-01RECEIVED 7l Application for Zoning Clearance JUN ° 9 2005 pP g :., oFFrcE sjj 9MMUN� DEVELOPME CLE # 406 Zoning Clearance = $35 Check # Date: - PLEASE VIEW ALL 4 SHEETS ReceiptAStaff: PARCEL INFORMATION Tax Map and Parcel: -t9 O " {?(7 " ©y DO Existing Zoning Parcel Owner: '�nm Parcel Address: t�Y1l1`(�(1�Aj;`1� Citye s'l CA�Q5VV L&e —VA Zipgzq I ______--(include suite or floor) - - - - - - - - - - I -------- ••-------------- ------------------ ........ APPLICANT INFORMATION 1Y l a Who should w(e]ca�l�l/write concerning this pro .ect? 1 Address.�T1`j �W City ` {C State Zi 016 _ r� J Office Phone: Cell # Fax # T (22a&-mail •---------------------•--------------------••-•----------------------------------------------------------------------------•-----------------... PROJECT INFO ON Business Name/Type�a� Previous Business on this site: qe-W 0C5-f\5tUC fi r'Y--\ Proposed usew _ �saw o ()� Circle (if applicable): Fireworks / Christmas Tree SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1) *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, anew 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�� 11 vve ------------------------------------------------- - - APPROVAL INFORMATION ( ) Approved as proposed pprov d with DMa 0"WWW red Data CwtmAjMA97M5n- d Building Official LA Date t � " Zoning Official PDate 1 Other Official Date --------------------------- - ------------------------------------------------------------------------------------------------------ County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 3/28/05 Page 2 of 4 Applicant to complete the following: 0/ N Do you have one of the following? Tax Map and Parcel Number and or; Address of use (include unit or floor if appropriate; N o you have a Floor Plan (sketch or an architectural drawing) that includes the following, and if so please provide it with the application? The total square footage of the use and/or; The square footage of each room or area of use; Use of each room or area If using less than the entire structure, note the location within the structure. 1oning_Tech to com Violations: Y Ifs , t: V ar}anxe: Y�& If so, List: the Intake to complete the following: Y/N Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y W��N rebe food preparation? If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE Y 'l:Y Is parcel on private well and septic? If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE 1/ N on public water and sewer? Will you be putting up a new sign of any kind? If so, obtain proper Si e� Permit # 1 N Will there be any new construction or renovations? If so, ob h oper a ity Permit # Y/No Is this for sales of Fireworks? If so, obtain a copy of FIR permit. Permit # ,W/N If so, List: 2601 - l�A _ !Y1/N If so, List: 3/28/05 Page 3 of 4 Reviewer 14M cumpltte the SqW= rgotage of Use: _ _ _„ ?On�!rmifFsd aS"� Under Section: Supplementary regulations section: Parking formula: Required spaces: 175rzx 3/28/05 Page 4 of