HomeMy WebLinkAboutCLE200500183 Action Letter 2017-08-01Application for Zoning
1 ning Clearance = $35
PLEASE REVIEW ALL 4 SHEETS
PARCEL INFORMATION
Tax Map. and Parcel:
Parcel
Clearance
W — I I &c2
OFFICE USE ONT Q / G3
CLE # < O
Check # J.5_7 Date: D -
Receipt # Staff: 6
Existing Zoning Pb-sc—
1
Parcel Address: ' �s City f� State Zip 1*212
______________ include uite or floor-) ----------- f---------------------------------------------------------------------------------------------------------------
APPLICANT INFORMATION
Who should we call/write concerning this project? iPuV1IfL.( s�i i� - Yl U Y fvL1Jlr�Q�p
Address: ��� ll�%(� `V �• City �- State V ____ Zip.
Office Phone: C 52) W Cell #
PROJECT INFOI
Business Name/Type:
Fax #-K-7'�A--44W E-mail _ �Sh ICi1�%ifCt
Previous Business on this site: t -
Proposed use: " Gak 5
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1)
"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. have read the conditions of approval, and I understand them, and that I will abide by them.
LSignature Printed��� --
APPROVAL INFORMATION M
Approved as proposed { pproved with co itio�Data No
Building Official Date��� o a
Zoning Official _ _ � �; Date '71 An C
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) 9724126
3/28/05 Page 2 of 4
Applicant to complete the following:
(2)i N
Do you have one of the following?
Tax Map and Parcel Number and or;
YAddress of use (include unit or floor if appropriate;
LV/N
Do you have a Floor Plan (sketch or an architectural drawing) that
includes the following, and if so please provide it with the
application?
The total square footage of the use and/or;
Thesquare footage of each room or area of use;
Use of each room or area
If using less than the entire structure, note the location within the
structure.
Soning Tech to
Violations:
Y, /65J
If so, List:
Variance-
Y ,'62
If so, List:
the
Intake to complete the following:
Y /0
Is use in LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
Will there be food preparation?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from
Health Dept. FAX DATE
Y /0
Is parcel on private well and septic?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from
Health Dept. FAX DATE
0/ N
s on public water and sewer?
�/ N
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit # 4j f
W/N
ill there be any new construction or renovations?
If so, obtain the proper Permit.
Permit # 24746 974C_
Y/�T
Is this or sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
Proffers:
Y xM
If so, List:
lYJ/ N
If so, List:
3/28/05 Page 3 of 4
Revjevper I complete
Square footage of Wc-
Permitted as: �_ __e►�a__
Under Section:
Sugpiumentary re-plations section;
Parking rmnula;
Requiredspaces.
Y l�
Ilene to he verified in the field
inspector IName & r ate:
Notes
3/28/05 Page 4 of 4