HomeMy WebLinkAboutCLE200500182 Action Letter 2017-08-01E-mail
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Application for Zoning Clearance JuN 29 2005 .
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OFFICE U E ONLi
❑ Zoning Clearance = $35 CLE #
Check # Date: -,
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff -
PARCEL INFORMATION �j
Tax Map and Parcel: Q L33 Existing Zoning
Parcel
Parcel Address: 1 -Q • _ T6% Si 3 City C +Vl j[ 4L State �Q • Zip zz IOz
--- (inclsuite or floor)- _ _________ ____
APPLICANT INFORMATION I
Who should we calitwrite concerning this prof ct? IJ r
Address: 5 5- �iA .l City
Office Phone: C__) Q7• t4 97 Cell # -go/• 111g, Fax #
PROJECT INFORMATION
Business NamelType:
Oc+7/JAdp.
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet3)
*Ilia 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 th t of my owledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signa Printed
APPROVAL INFORMATION
( ) Approved as proposed pppoved with conditions
Building Official Date =-1 �� � 0.X-
Zoning Official Date 9 4sa iGS
Other Official Date
.................................................................................................................................................
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
2 of 3
Applicant MUST HAVE the following information to apply: f
1) Tax Map and Parcel or Address with unit number or floor if appropriate. 5;4� 19140
i
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; .t 10-9rs 4, -�,�y it
b) Note the total square footage of the use;
c) Note the square footage of each room or area of use; T
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 Engineer's Report (CER) packet.
Can not issue until CER is approved by the County Engineer.
Y I N 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.
Y 1 N Is the parcel on public water and sewer?
Y I N Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y I N Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y / N Is this for sales of Fireworks?
If so, obtain a copy of F/R permit.
Zoning Tech to complete the followings
Violations:
Y /�If so, List:
Variance:
Y ! N If so, List
Permit #
Proffe s•
Y t�If so, List:
SP's:
7:�>N if so, List:
Reviewer to complete the following:
Square footage of Use: qOkPermitted as:
Under Section: Supplementary regulations section:
Parking formula: cia a Required spaces: 1 ro
Y Items to be verified in the field:
I.