HomeMy WebLinkAboutCLE200500181 Action Letter 2017-08-01Application for Zoning Clearance .
OFFICE USE N
❑ Zoning Clearance = $35 CLE #
Check # 00 Date: /
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: Cr 00-0 " 00-00 •0 q0 �� T_ Existing Zoning
Parcel Owner: iv,S i de
Parcel Address: 2-P-Al /vy yid, Sim //Z- City i l d _ State U Zip ZZ 903
iinclude suite or floor)__
APPLICANT INFORMATION
Who should we call/write concerning this project? E' rail �t
Address: ZZ: City Zip 2-Z`?D3
Office Phone: M 243 — 34S4 _Cell # Zy j`� 3$2±� _ Fax # $,�73 gE-mail
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PROJECT INFORMATION -7
Business Name/Type: L_a Z q S LA 5AI
Previous Business on this site: S0 M E.
Proposed use:
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 o av wnces permission to use the space indicated on this application. I also certify that the information provided is
true and accurate to the owledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature 60 Printed
APPROVAL INFORMATION
( ) Approved as proposed
( ) Approved with conditions
Building Official Date
Zoning Official Date OR,
Other Official
Date
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County of AIbemarle 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:
�Taz Map and Parcel or Address with unit number or floor if appropriate.
2) A FIoor 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 /Os 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.
0 N Will there be food preparation? f1
If so, fax application to Health Department. FAX DATE
Can not issue until we receive approval from Health Dept.
Y / 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.
Y/ N Is the parcel on public water and sewer?
Y / CNN ill you be putting up a new sign of any kind?
r� If so, obtain proper Sign permit. Permit # 114
Y /(N J Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y /js this for sales of Fireworks?
If so, obtain a copy of F/R permit. Permit #
Zoning Tech to complete the following:
Violations:
Y / N If so, List:
Variance:
Y / N If so, List
Reviewer to complete the following:
Square footage of Use:
Under Section:
Parking formula: _
Y. / N Items to be verified in the field:
Proffers:
Y / N If so, List:
SP's:
Y / N If so, List:
Permitted as:
Supplementary regulations section:
Required spaces: _