HomeMy WebLinkAboutCLE200500177 Action Letter 2017-08-01nrpllcatlon for Zoning Clearance far
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OFFICE USE ONLY
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Zoning Clearance = $35 CLE # — f
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: OPo 1 MET" 0 0 C5 O 2 O Existing Zoning
Parcel
Parcel Address: 440 T'r c - t-f C';'(1U City QV40-CX21XStatey N Zip7!�a }
(include suite or floor)_
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APPLICANT INFORMATION
Who should we call/write concerning this project ��
Address: �{'� a {e au . C,i�L�- City C LA.0tuollk,State U% Zip .
Office Phone: id
Cell #9"3'4-S31-j4ji Fax #
E-mail
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PROJECT INFORMATION
Business Name/Type: gjotsl1
Previous Business on this site:(`-� ] 1
Proposed use: _ -WAS 5a.14 —3 kwr.ns \ l�r+-S 1_ s3b -C � — �,u ,. 1 �-51 d C 1
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 1 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
APPROVAL INFORMATION
( 7QApproved as proposed ( ) Approved with conditions
Building Official
Zoning Official
Other Official
Date r� L-zPQF?
Date % I22
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) Note the use of each room or area of use.
Intake to complete the following:
Y 1 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 1 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 1 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.
(91 N is the parcel on public water and sewer?
Y /(N�LVill you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y ] N� Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit
Y /(9 Is this for sales of Fireworks?
If so, obtain a copy of FIR permit. Permit #
Zoning Tech to complete the following:
Violations:
Y i N If so, List:
Variance:
Y ! N If so, List
Reviewer to complete the following:
Square footage of Use:
4 n
Under Section: t�
Parking formula:
Y 1 N Items to be verified in the field:
Proffers:
Y I N If so, List:
SP's:
Y I N If so, List:
I I, - U-n-1
Supplementary regulations section:
Required spaces: