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HomeMy WebLinkAboutCLE200500184 Action Letter 2017-08-01Application for Zoning Clearance Wa. ` .� OFFICE USEN / G CLE # < lJ Zoning Clearance = $35 Check # Date: PLEASE REVIEW ALL 4 SHEETS Receipt # Staff: PARCEL INFORMATION Tax Map and Parcel: Tm e-,6 i V - R _ , _ Existing Zoning AfMT Parcel Owner: -610 44' Tierra LC e- 3 Parcel Address: 94f VItAlEUV-3d PA-WsNIAl City (include suite or floor) (-'PG409116MSI"ZkState ✓A Zip 2-2 r APPLICANT INFORMATION Who should we call/write concerning this project? XA V 44 Adi B gA kIS Address: 00 6e%t k^Vv Oi+4lC City 0WtOTTES State %/ Zip Office Phone: �`' Z? 1764 cen# Fax# ' 4'78©flSE-mail __ rbrod E O_5tjQA A./-troy,Ccr:v� ------------------------------------------------------------------------------------------------------------------------------------------------ PROJECT INFORMATION Business Name/Type: Wi t;Lr�A- 6 Previous Business on this site: ArdAfY Proposed use: &iV 77 S 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 ownees 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. Signature Printed ------------------------------------------------------------------------------------------------------------------------------------------------ APPROVAL INFORMATION fGve ( ) Approved as proposed ( t1�Appro- d with on Building Official Date Zoning Official Date Other Official Date ------------------------------- - - - ---------------------------------------------------------------------------------------------------- County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5532 Fax: (434) 9724126 3/28/05 Page 2 of 4 Intake to complete the following: Applicant to complete the following: IN Do you have one of the following? Tax Map and Parcel Number and or; 77" /04 1 y- R Address of use (include unit or floor if appropriate; 01N Do you have a FIoor 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; The square footage of each room or area of use; Use of each room or area If using Iess than the entire structure, note the Iocation within the structure. PZ521 toning Tech to Violat' s: IfI ff7 Ifs , fist: V: Y If the YIN Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y / N� ZcNI � CA-i��ol2c/ Il!/Y� i th7 Wilere be food preparation? l 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 Y/N Is on public water and sewer? (2) / N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # i''/N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # Y / TO Is this for sales of Fireworks? If so, obtain a copy of F/R permit. Permit # T/ N f so, List: 2mq 2-ac`f - i6 ZOW3 - 13 Vs(Y N o, List: 7a6-1 (O, 3/28/05 Page 3 of 4 Revien er to eunnpkw the f;How wing: Square fuvtagc or i:sc: 2,L,0 / N _ rmitted as: Q p� Under Section: Supp]emcniary regulatIDTts Einn: Parking formula: _,. I �,&t pnt 8,1 ��� • � t _ZS Required spaces: YI© _ Items to be verified in the field: 2— Inspector Name & Date: Notes 3/28/05 Page 4 of 4