HomeMy WebLinkAboutCLE200500192 Action Letter 2017-08-01Albemarle County Department of Community Development
Application 'oar._._
Zoning Clearance
Tax Map/Parcel; 's(-?
m Parcel Owner.
a ,3 Address4
S� G b�r1
(includb suite or floor
E2U.vv File #; r I s2,
., Chat:k�►� cats:
Reoept* 5!io i 1 _ staff:
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Existing Zoning: _)"Z f
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Who should we calllwrite concerning this project?
'6 1 Address f fJ A re-r A." ) City S2 V V -z a -J State VA � Zipto
Off Phone: l439j&3 V 7 7, ' -. . _ Cell:
Fax: �'.�3 6 3�/ E-mail:
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Business Name/Type:
Business on this site;
Proposed use: ,u it Lee —..., _S1 �L . _7Q t2a
Circle (tf applicable): Fireworks / Christmas Tree
lNe Clearanoe vAll only be valld on ft panel for v+hlch it is epproved. If you Owga. INMs7fy or move the use to a now Ioc W. a new Zoning
t dUM= v.il bs mquww.
I hereby ' UW I awn or have the wxwre pt>lrn ukm to use the space indicated on 9da eppurstbn, t olio oe* tot ft Information provided
Is bve and ow to to Dw beat of My ItnwApdga. l have read the coed Wriv orappmvel, urtd I urtdembnd Them, end IN? I VA abide by Uwfn,
Signature Pdnttad _
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( ) Approved as proposed ( Appmved with conditions
modoca Deft
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Q. Building OfflcJaJ 11::t4— Date a
Q
Zoning Official bate
12-06-2004 03:34 4348231851 PRGE1
Applicant to complete the following:
Oy / N Do you have one of the following:
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
01 N Do you have a Floor Plan (sketch or an architectural drawing) that includes the following:
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 less than the entire structure, note the location within the structure.
Intake to complete the following:
r Y JI N Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet, G� ( ✓
Y 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.
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.
N Is on public water and sewer?
Y1
(Y / N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit.
/ Permit # Na f AWP)►edi q6 [—
Y 16 Will there be any new construction or renovations? jIf so-,
obt���
'roper Permit.
Permit # Go rrpU. - c,
Y 1 Nt j Is this for sales of Fireworks? If so, obtain a copy of FIR permit.
v Permit #
Zoning Tech to complete the following:
Violations: Y 1 N
Proffers: Y 1 N
Variance: Y 1 N
S P's Y 1 N
If so, List:
If so, List:
If so, List:
If so, List:
Reviewer to complete the following: Square footage of Use:
Q ; N Permitted as:
s
Supplementary regulations section:
Parkingformula: 0601[264M zao
Y 1(I!P Items to be verified in the field:
Inspector Name & Date:
Under Section:
ired spaces: 49S