HomeMy WebLinkAboutCLE200500174 Action Letter 2017-08-01Application for Zoning Clearance }`•r�
OFFICE �MY
CLE #Zoning Clearance = $35 Check # Date:PLEASE REVIEW ALL 4 SHEETS Receipt #Staff:(
PARCEL INFORMATION
Tax Map and Parcel: 07700 ' 00 - 0 20 Existing
Parcel Owner:
Parcel
--------- ----------{include_
-or-floor)
APPLICANT INFORMATION
Who should we call/write concerning this project? AAA64,eA W #,M2
Address: PO 60. j S-r3 City C iWWt0 4$Ji I! a State VA Zip 2-2-9 .21
Office Phone: [ 36 2-Vy" Ys30 Cell # IT 3 -Sb 90 Fax # I9A" 73 .Z E-mail B A1515A , W J+Alt y Q 10.1IF or?,
PROJECT INFORMATION
Business Name/Type: RLG AND
Previous Business on this site: Sa I 71-V I sb
C.I C.o i"r� ✓I I.. L-e ✓A 22c, / I
Proposed use: �A JPi$ G ! 4r �
Circle (if applicable): Fireworks / Christmas Tree 0A
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 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,
44
Signature Printed !_ 0k14, 0/10iflo& _
---------------------------- -- 0 -- ----------------------------------------------------------------------------------------- --------------------
APPROVAL INFORMATION
( ) Approved as proposed { Approved with conditions
Building Official Date 6 ai t
Zoning Official Date 2 l
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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
1/26/05 Page 2 of
Applicant to complete the following:
1 Intake to complete the following:
Y/N
Do you have one of the following?
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
X/57- WA-YL65 c- OJE;) SLm-M ISM
6)/N
Do 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; /5 �FD
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.
Zon!ng Tech to conk
V iolatium:
Y/�%-
I
�, tst::
r�Y)'
IN
f so, List:
to the fnlhYWI
YIN
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
IY/N
Will there be food preparation?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from
Health Dept.
YIN
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,
Y/N
Is on public water and sewer?
1 ,
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit #
YIN
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
YIN
Is this for sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
PrOY rs•
Y l
If so, List:
5 P'3:
Y / '�
If so, List:
1/26/05 Page 3 of
Rev lower I immplefe Chi, fulWwing:
8QQw10 fooLige of lfw. I _
,,permitted as:
Under Section: '�� 23 • .Z • � �Z
SLJ}7lFlL'1tiCi arIy teghilanarK xCcllurr'
Parking formula: ae_„�, ?,wr5si Z.ea`3
Required spaces: _ C�
N
I feni.,, ter Ile vcrifed ui rh,; Feld:
i r
Inspector Name & Date:
Notes
I/26/05 Page 4 of 4