HomeMy WebLinkAboutCLE200500179 Action Letter 2017-08-01__,Y ptication for Zoning Clearance - A
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OFFICE USE
J�Zoning Clearance = $35 CLE #
Check # I f001Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: Existing Zonin _
Parcel Owner:�CV ►:� toy I t (__
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Parcel Address: �thn /I City _ �lu��� State Zip
--------------------------- Butte or floo
APPLICANT INFORMATION
Who should we call/write concerning this project? 4 S
Address : �.� �Cs�� -y� Ci State,
Office Phone:
b3eIE # Fax # E-mail
PROJECT INFORMATION 4
Business Name/Type: - `�L �C=�y`u�C-� C� . l,�%\ za n O;Z�4_6
Previous Business on this site:
Proposed use:
Zip (3—
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.
9 S
Signature ` • Printed �'t ei
APPROVAL INFORMATION
( ) Approved as proposed ()<) Approved with conditions
Building Official Date�4
Zoning Official Date D a8 /7=15
1
Other Official 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 / N Is the use in a LI, HI or PDIP zoning?
If so, give applicant a Certified Engineers Report (CER) packet.
Can not issue until CER is approved by the County Engineer.
Y /0 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 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?
/ Q Will 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 � N ) Is this for sales of Fireworks?
v If so, obtain a copy of F/R permit.
Zoning Tech to complete the following:
Vio fl s:
y /V If so, List:
Var' e:
Y / \ J If so, List
Reviewer to complete the following:
Square footage of Use:
Permit #
Under Section: �V% W1/AQ—
Parking formula: N
Y ! NO terns to be verified in the field:
Proffers:
Y / N If so, List:
V y/
Y. � If so, List:
Permitted as:
Supplementary regulations section:
Required spaces: NO