HomeMy WebLinkAboutCLE200500169 Action Letter 2017-08-01f r Z ninClearance=�
Application0 o g
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OFFICE USt'O
N��ElZoning Clearance = $35 CLE #pit l
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # AR66 Staff:
PARCEL INFORMATION
Tax Map and Parcel:
Parcel Owner:
C 1) __0:2 —
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) - 00100
Existing Zoning
Parcel Address: L U I ( SIC IN- nc IC �T, SU t { `City C J70.T �+JUG [ 1t State V 11 Zip 9 a ` 01
______(include suite or floor)- ______ ____ ____ _
APPLICANT INFORMATION
Who should we call/write concerning this project? d `
Address o ra is o �CeW jej City
L raZ C � State
Zip ' `j u a
Office Phone: cT3 13foCell # g34-S31- 2S'Faf9 C $SQ E-mail lia Mg be. ^141,e,^
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PROJECT INFORMATION
Business Name/Type: �?o
it
Previous Business on this site: 'S 9 dh is
Proposed use: N5 61-ty 4 c 'c• e m f er- o 1- i1 eW /19 { 1 "C _
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 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
----------------- -- --- - - ----------------
APPRO I ORMATION
( ) Approved as proposed
Printed �.a^
Approved nth conditions
Building Official Date �I.;S
Zoning Official;3���4& Date 6 '! 7 D S
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
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;
d) dote the use of each room or area of use.
Intake to complete the following:
Y /'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 / 9 Will there be food preparation?
If so, fax application to Health Department. FAX DATE
Can not issue until we receive approval from Health Dept.
Y /� 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.
Iv Is the parcel on public water and sewer? O r� s
N Will you be putting up a new sign of any kind? � r�r-
If so, obtain proper Sign permit. Permit #
0/ N Will there be any new construction or renovations? If so, obtain the proper Permit. Perm� / Ait #
Y / N '�s this for sales of Fireworks? U
If so, obtain a copy of F/R permit. Permit #
Zoning Tech to complete the following:
Violations:
Y / N If so, List:
Variance:
Y ; N If so, List
Proffers:
Y ! N If so, List:
! SP's:
Y / N If so, List:
l
Reviewer to complet~kftint
Square footage o T,fl Permitted as: �itil�Ltt uht . a ,, uo _
Under Section: Supplementary regulations section:
I 'r- 22 -- 3
Parking formula: 566 2 - " = Required spaces:
Y / N Items to be verified in the field: