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HomeMy WebLinkAboutCLE200500186 Action Letter 2017-08-0100/24/2Ca05 14:56 FAX 434 293 7377 MCLEAN FAULCONER INC. IM 003/005 Application for Zoning Clearance OFFICE USE ONLY x CLE # ell" J Zoning Clearance = 535 Check # //I Date: 7-Co-0 PLEASE REVIEW ALL 4 SHEETS Receipt # 3507-7 Staff. PARCEL INFORMATION Tax Map and Parcel: Tr— 4 1 PA-4cin (" IAExlst1ng Zoning L Parcel Owner: LLC- Parcel Address: 2-V5 57 S.�( wN-.e. Vft4) tt AA City {04A4,o 01 vi 1,W State -Vot zip 1Z 9O _--------------------------- - ------------------- APPLICANT INFORMATION r Who should we call/write concerning this project' Address: 2 3 S� G>r•a. s { LA--- City t State o Zip Office Phone: dab s ` STOP Cell # Fax # .3z-19d3-91(11 E-mail A" t&"7-,90a C 19 Loeab. C4vy Y. Z,4r-.i" -----------------------------------------------------------------------------------------•------------------------------------------------------ PROJECT INFORMATION Business Name/Type: kar a S vtPrt-y T."' c Previous Business on this site: 2WI-7CJVC-f-' 9054W C"- Proposed use: zt�Ot�sL�� Circle (if applicable): Fireworks / Ci mftnas Tree SEE CONDITIONS OIL APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CIMSTMAS TREE SALES (Sheet 1) *'Phis 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 th I own or have the owner' scion to ace indicated on this application. I also certify that the information provided is true and accura est f m owl . I h ve read conditi s of approval, and I understand them, and that I will abide by them. ftz�t�v sr/��6y, rnC. Sigma Printed �%i9j?r --Qs-r�Z�S'a�� V. Q ------------------------------------------------------------------------------------------------------------------------------------------------ APPROVAL INFORMATION ( ) Approved as proposed (a/fApproved with conditions Building Official....24 Date —11 Zoning OfficialDate _ If-( Los Other Official Date Ac-5A :Nc, ° h1W aW -------------------------------------------------------------------------------------------------------------------------- --------------- County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5932 Fax: (434) 9724126 3/29/05 Page 2 of 4 06/24/2005 14: 57 FAX 434 293 7377 NCLFAN FAULCONER INC. IM 004/005 Applicant to complete the following: Q / N o you have one of the following? Tax Map and Parcel Number and or; YS'131 19 (` t Address of use (include unit or floor if appropriate; 0IN o 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; 10, 33 The square 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. Tech to complete the Y /�. If so, Mpriance: /N If so, List: Intake to complete the following: Y/N Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y/N 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/N 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? Y/N Will you be putting up a new sign of any kind? If so, obtain proper Sign pemuL Permit # Y/N Will there be any new construction or renovations? If so, obtain the proper Permit_ Permit # YIN Is this for sales of Fireworks? If so, obtain a copy of F/R permit. Permit # Y (X If so, List: Isf sN o, List: S P C1 3/28105 Page 3 of 4 06/24/2605 14:57 FAX, 434 293 7377 MCLEAN FAULCONER INC. @ 005/005 Reviewer to completr the fidlowing; Sq=r few2ge Of Uric 10, i 'Fumatied as; Under Section:. _ 2-�• 2 • _ (�'�! Supplementary regulations section: Park mg f6imula. RtgTjiIA Var.g5 Y/© ltems to he veTdwd 0 the fiicld' Irispecter Name & Date; Notes 3/29/05 Page 4 of 4