HomeMy WebLinkAboutCLE200500196 Action Letter 2017-08-01Iicatlon for �, p Zoning Clearance . �n
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OFFICE USE ONLY
Zoning Clearance = S35 CLE #
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel:
Parcel Owner:
Parcel
----------------------------Sinctone su�ie or
City
APPLICANT INFORMATION
Who should we call/write concerning this project?
Address • 1 City
Office Phone: Cell #
PROJECT INFO]
Business Name/Type:
Previous Business an this site:
Proposed use:
Existing Zoning FTS�G
State Zip
!State
zt39o�
!?- 1 E-mail ddatze,:.�� U�J.[01
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 best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signs Printed
-- *- -- ---------------------------------------------------------------------------------------------------- ..................
APPROVAL INFORMATION _
( ) Approved as proposed (/) Approved with conditions _ _ ftSA 3tlL '7WOS
Building Official Date
Zoning Official Date 20(6S
Other Official
Date
................................................................................................................................................
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
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 G 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 AZ Will there be food preparation?
If so, fax application to Health Department. FAX DATE
/7N, Can not issue until we receive approval from Health Dept.
Y k N] Is the parcel on private well and septic?
`J 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?
N Will you be putting up a new sign of any kind? I Y U(t�CJ l
If so, obtain proper Sign permit. Permit #
N
Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y a Is this for sales of Fireworks?
If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
Violations:
Y 1 dSEE�> If so, List:
Variance:
1 N If so, List
Reviewer to
Square footage of
Under Section: 5•7' 2. • 2.1.
Permit #
Proffers:
'- N If so, List:
SP's:
/ N If so, List:
3-
as: [ 5;46f ('& Ale41t—
Supplementary regulations section:
Parking formula: Required spaces:
Y. 6 Items to be verified in the field: