HomeMy WebLinkAboutCLE200500190 Action Letter 2017-08-01Application for Zoning Clearance _ -
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[32oning Clearance = $35 CLE # 1 id
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff: S
PARCEL INFORMATIO
Tax Map and Parcel: "' Existing Zonin
Parcel Owner: 6 LLC 7,hvrc( 7ilenev- be.,.,:76r
Parcel Address: 1 (f 70 C2iv►� s Nam_ A cc City Cit1c Lk�,' UQ State VA Zip
floor
...........................include suite or (-----------------------)--------------------------------------------------------------------------------------------
APPLICANT INFORMATION
Who should we call/write concerning this project? + u s eppe 'Tor-"
Address : ! (f70Pan Ives Mun4tt l� City _ (2��wvg4' & State ✓A zip =4 l /
Office Phone: cIE3� V-7- I $17 Cell # g34-i95-570?5- Fax # E-mail Air T-05oRTHO C YAIW. (01A
PROJECT INFORMATION
BusinessName/Type: nfo 5 QH-hodcrn1,r-S
Previous Business on this site: L 'Uren`s ev 4is" Ar a,[ " _ o';9L Curre.-,A %rewni
Proposed use: den41 D Frcx. r T un.(t! be- S,6Le,s.R.tiq Gr,s
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 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. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed 6i u s e ppe Rebe 11 a � o
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APPROVAL INFORMATION
( ) Approved as proposed (Approved with conditia Ate-S A _ _ Sh c- -7 f r. kT—
Building Official
Zoning Official
Other Official
Date -) 13
Date /-ats
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
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Applicant MUST HAVE the following information to apply:
1) Tax Map and Parcel or Address with unit number or floor if appropriate.
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;
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 Qj 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 <0 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 1 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.
! N Is the parcel on public water and sewer?
Y I N0 Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y ICIO Is this for sales of Fireworks?
If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
Permit #
Violations:
Y 0 If so, List: if so, List:
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Y �f so, List
SP's•
Y so, List:
Reviewer to comp to the Soiiowt Mi[
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Square footage of Permitted
Under Section: Z . �� Supplementary regulations section:
-- Zba-`'L' t CC(
Parking formula: w^+�- Required spaces.
Y Items to be verified in the field: „�� J