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HomeMy WebLinkAboutCLE200500199 Action Letter 2017-08-01Y pplication for Zoning Clearance OFFICE US Zoning Clearance = $35 CLE # Check # Date: PLEASE REVIEW ALL 3 SHEETS Receipt # Staff: PARCEL INFORMATION Tax Map and Parcel- Existing Zoning 7! Parcel Owner: Rikor-�--'N Rt-,,/, L Parcel Address: —solo Isparki^. City State Zip a j j -- Include suite or floor-r ---- - ---.--------- ------------------------------------------------------------------------------------------------- APPLICANT INFORMATION Who should we call/write concerning this project? Address: j D q,r . city n State zip ZZ�i1l� Office Phone: ( M) q CAI'# �%� _72 � n Fax # ` 4q -' ©i`C E-mail L' (� ---------------------------------------------------------------------------------------------------------------�� -n�-- -� Yarn PROJECT INFORMATION Business Name/Type: Cur rent ii Rmwtla"Business on this site: lid rKes P • 6j'al'- ni P(:l Circle (if applicable): Fireworks 1 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 an this application. I also certify that the information provided, is true and accurate to the best of my knowledge. I have re the conditions of approval, and I understand them, and that I will abide by them. Signature Printed J-A---k '--'a C L ------------------------ ------ ( --------------------------------------------------------------------------------------------------------------- APPROVAL INFORMATION ( ) Approved as proposed (�) Approv _ �LS J-M ( 7131t)/v5`' Building Official Date "1 �-�- • Zoning Official Date 2 �- Other Official Date ----------------- ------------------------------------------------------------------------------------------------------------------------------ County of AIbemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax. (434) 972-4126 ir-nt MUST HAVE the following information to apply: 1 Tax Map and Parcel or Address with unit number or floor if appropriate. A Floor PIan - 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 I0 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 /(N j 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 /(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. JI N Is the parcel on public water and sewer? Y / @ Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y /(N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit #_ Y 1 Is this for sales of Fireworks? If so, obtain a copy of F/R permit. Zoning Tech to complete the following: Violg4j.pns: Y(N / If so, List: Y 1,1N/ If so, List Reviewer to complete the following: Permit #_ Proff Y ,`'N /If so, List: SP' . Y / If so, List: Square footage of Use: �L509� Permitted as: 70 Under Section: L2$ Supplementary regulations section: Parking formula: l� ,. ZW 4266K -! Zm 0 Y, 0 Items to be verified in the field: Required _ ,L r----