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HomeMy WebLinkAboutCLE200500170 Action Letter 2017-08-01Application for Zoning ❑ Zoning Clearance = $35 PLEASE REVIEW ALL 3 SHEETS Clearance' OFFICE USE ONLY CLE # — Check # Date; Receipt # staff: PARCEL INFORMATION C T r Tax Map and Parcel: 0401 mtc - ©� - OA - �Oyd Q Existing Zoning I Parcel Owner: S P AiTUP-6-$ k�-C Parcel Address: 120 SL-mooLk TEL, City L nNAE.I,(st5 -Ile State , A Zip ZZ 0 (include suite or floor)_ -- - -- ---------- ---- --------------------------- ------------- ------------------------------------------------------------------ APPLICANT INFORMATION Who should we call/wrfte concerning this project? bkk) SIMOAUb Address • Z 1 1-1 CPln oij RD. City k(i k hPsT State VA. Zip _ Z( Office Phone: ('L3) QZ`]-271c1 CeII # 7p3-_qZ7-Z7 'ax # SqD'6(,-NZ2f E-mail _,D�ioi),Wy-A LIP AOL. COM, ------------------------------------------------------------------------------------------------------------------------------------------------- PROJECT INFORMATION Business Name/Type: D Previous Business on this site: _ _ 0H 1 AVC)& (SH [AARSC &5TAU 12AUk) T` 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 Printed 3•t WEL �. ��uO.v> APPROVAL INFORMATION ( ) Approved as proposed _ (X) Approved with conditions 1l t2I.ac«fin �r7�5 At- -2..7 — n<_ JUN' 2 2 2005 --------------------------------------------------- ty Development I' a- escu- Division VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 401 McIntire Road Charlottesville, 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) Note the use of each room or area of use. Intake to complete the following: Y I s 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 / ill there be food preparation? so, fax application to Health Department. FAX DATE Can not issue until we receive approval from Health Dept. fY N 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? . Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y I there be any new construction or renovations? Of so, obtain the proper Perttnt. Permit #- j Is this for sales of Fireworks? �If so, obtain a copy of FIR permit. Fermi Tech to complete the folly tng: Violations: Y I N If so, List: Variance: Y ' N If so, List Reviewer to complete the following: Square footage of Use: l__'Z'a Under Section: W6144 AVKV4 - Parking formula: Y % N Items to be verified in the field: Proffers: . Y / N If so, List: SP's: Y / N If so, List: Permitted as: 5 t� Supplementary regulations section: Required spaces: