HomeMy WebLinkAboutCLE200500194 Action Letter 2017-08-01Application for Zoning Clearance -
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OFFICE US Y
❑ Zoning Clearance = $35 CLE #
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: 00ilOrV Existing Zoning_
Parcel Owner:
Parcel
_ C h V t l l T State Zip �91
a
______ include suite orWoor ----- - ---
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APPLICANT INFORMATION
Who should we call/write concerning this p-7r�o�ject?Dl/ �-e , / ^ 1
Address: S G � r e /U City ) v /1/ r t� State, 1/ /T
Office Phone: 6/� �7 �Sr�� Cell # — Fax 1# 3 Q E-mail /k Ide M 5 Q
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PROJECT INFORMATION N, Business Name/Type: 7 W e /V -L 5Q A k 5 �- A A.4& At-04 c6-11 e-p—,
Previous Business on this site: Proposed use: Z216,;2 � h0-1 I_Qd M l-1 j/ u--V f
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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.
1 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 f r b I
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APPROVAL INFORMATION
04 Approved as proposed { ) Approved with conditions
Baildinj
Zoning
Other Official
Date o_7!�'
Date
Date
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County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Applicant MUST HAVE the following information to apply: j c,' 7 r+t. -- FT Z 7 O Q
vt Tax Map and Parcel or Address with unit number or floor if appropriate. 2 f` LM 1l 5;
A Floor Plan - either a sketch or an architectural drawing
r-a) If using less than the entire structure, note the location within the structure;
/b) Note the total square footage of the use;
{J ec Note the square footage of each room or area of use;
4 Note the use of each room or area of use.
Intake to complete the following:
Y 1 fiT s 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 1 N Will there be food preparation?
If so, fax application to Health Department. FAX DATE
Can not issue until we receive approval from Health Dept.
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.
Y / N� Is the parcel on public water and sewer?
Y Will you be putting up a new sign of any kind?
L/ If so, obtain proper Sign permit. Permit #
Y I61,>'ill there be any new construction or renovations?
If so, obtain the proper Permit. Permit #_
Y 1 (NIs this for sales of Fireworks?
If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
Violations:
Y / �If, so, List:
Permit #
Proffers:
Y /"1C If so, List:
Y/f If so, List I N If so, List:
-
filt
Reviewer to complete the following:
Square footage of Use:
Permitted as:
1
7�v - (36
I
Al
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Under Section: 6 Supplementary regulations section:
Parking formula:
YO Items to be verified in the field:
Required spaces: Ov k, tifc_..._