HomeMy WebLinkAboutCLE200500176 Action Letter 2017-08-01Application for Zoning Clearance
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OFFICE USE ONLY
❑ Zoning Clearance = $35 CLE # — l 7
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff: /i ICL.`t--
PARCEL INFORMATION �,O /�b
Tax Map and Parcel: 12� 1 f 5 � 6 _M � Existing Zoning
Parcel
Parcel
_______ &Flude suite
State �� ram, Zip r�1
APPLICANT INFORMATION j�6,
j�Who should we calllwrite concerning this project? 4. 6,6e
Address: . ,Q�� City 7c1rUt//C State UG Zip
Office Phone: d 3b 3 `7/` /177 Celt # Fax # E-mail
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PROJECT INFORMATION
BusinessName/Type• „_._�.._. Ar-D a65 GU
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Previous Business on this site: /U6k) R.
Proposed use:
Circle (if applicable): Fireworks I 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, anew Zoning
Clearance will be required.
I hereby certify that I own or have lie 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 owledge. I have read the conditions of approval, and I understand them, and that I will abide by them
Agnature (faz' Printed jo—k A 40r-�
APPROVAL INFORMATION
( ) Approved as proposed 1-1-010
( ) Approved with conditions
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Building Official _ Date _ _ 12_ �b !02'
Zoning Official Date
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
3/3/2005 PaSe : of 3
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;
+0�.�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 / 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.
9 N Will there be food preparation?"
If so, fax application to Health Department. FAX DATE eW,C6
'1c-A9
Can not issue until we receive approval from Health Dept.
Y /(9Is 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.
V N Is the parcel on public water and sewer?
Y / Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y I(D. Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y ID
�s this for sales of Fireworks?
v If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
Violations:
Y / N If so, List:
Variance:
Y / N If so, List
Reviewer to complete the following:
Permit #
Proffers:
Y / N If so, List:
SP's:
Y / N If so, List:
Square footage of Use: Permitted as:
Under Section: Supplementary regulations section:
Parking formula:
Y / N Items to be verified in the field:
Required spaces: