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HomeMy WebLinkAboutCLE200500178 Action Letter 2017-08-01Application for Zoning Clearance OFFICE USE ONLY 9'6ing Clearance = $35 CLE # Check # /7�0 Z Date: PLEASE .REVIEW ALL 3 SHEETS Receipt # 16Staff: PARCEL INFORMATION Tax Map and Parcel: Parcel Existing ZoningUnm % cd — Parcel Address: 3S'O 2 —'„� ILL . City TStnr &'A State ------•---•-- (include suite or tloor2 -----•---...---•------------•-•---------------------•----------------------------------- -- ---- "--------- APPLICANT INFORMATION � Who should we call/write concerning this project? Address: 3SU "Z City � `�� a✓ State Zip -71 -2-9 Office Phone: Y (� �73'7i�g Cell# �t///� �Fa�t# 97�—?Sze E-mail a!r ST��7 PROJECT INFORMATION r Business Name/Type: Previous Rusitness on this site: y�JNs cv'r^ 4�� Proposed use.- /Gi �y�+,c-c 4'. °�' �ccyz CD!!!Lc4_ _ .... Circle (if applicable)' Fireworks / Cbristrrms Tree SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR C:HRISTMAS TREE SALES (Shect3) '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 ownefs permission to use the space indicate¢ on this application. I also certify that the information provided is true and aectiratc to the b t of my irnowledge. 1 have read the conditions of approval, and 1 understand them, and that I will abide by them. Signature Printed z9-K"e- '3 crT� APPROVAL INFORMATION ( ) Approved as proposed ( Approved with conditions Building Official Date Zoning Official __ bate d Other Official Date - -- --------------------------------------------------------------•------------------------.---.-----------------------.----------------------- County of Albemarle Department of Community Development 3/312DO5 P Applicant MUST `HAV- the following information to apply: l) Tix Map and Parccl or Address with unit number or floor if apptopziate. 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; e) Note the square footage of each raorn or area of use; d) Note the use of each room or area of use. ,otake to complete the following: Y /0 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 /ON Will there be food preparation? If so, fax application to Health Department. FAX DATE Can not issue until we receive approval from Health Dept. i' 10 Is the parcel on private well and septic? If so, fax application to Health Department. FAXDATE Can not issue until we receirm approval horn Health Dept. D/ N Is the parcel on public water and sewer? Y /© Will you be putting up g new sign of any kind? ,,!'��f'�`'�`��r`'',` If so, obtain proper Sign per r Permit #m 7L.t 1"�- HCC1'•i'� J t i1p� Y 10 Will there be any new construction or renovations? ,] If so, obtavi the proper Permit. permit #^ Y 0 Is this for sales of Fireworks? If so, obtain a copy of F/R permit. Permit #_ Zoning Tech to complete the following: wintions; f Y// N If so, List: V r ZVZ Variance: Y I N If so, List Proffers: Y / N If so, List: I's: Y I N If so, LispvDOQ 1>1 Reviewer to complete the following: Square footage of Use: 2i� Permitted as: Under Section: �'z'2 - �- • b� Supplementary regulations section: ` Parking formula: f s � Required spaces: _(A. . �o�x • g�z� [!p�c/ N Items to be verified in the field: