HomeMy WebLinkAboutCLE200500200 Action Letter 2017-08-01Application for .,Zoning Clearance
OFFICE USE O LY
CLE #
❑ Zoning Clearance = $35 Check # Date:
PLEASE REVIEW ALL 4 SHEETS Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: Existing Zoningl t[
Parcel Owner:
Parcel Address 1 ity liadh State I a Zi1of
_ _ _ _ _ (include si i e or floor)
APPLICANT INFORMATION
Who should we call/write concerning this project? /j
Address: � �'IR j ' f State L Zip [ /
WW
Office Phone: l rYOOCell # Fax # ^ 1 E-mail
-••--------------------••---------------------------•------------------------- - ------------------------------------------------------------
PROJECT INFORMATION
AEI
Business Name/Type: d 141bfVOML,nc— 'P�v5iwwk
Previous Business on this site: o a►} oows Nei
Proposed use:
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1)
*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 tp th'4est of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature
APPROVAL INFORMATION
( ) Approved as proposed
Building Officia
Zoning Official
Other Official
( ) Approved with conditions
Date f-z
Date 07 ! Vb !->
Date -7(>5
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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
3/28/05 Page 2 of 4
Applicant to complete the following:
YIN
Do you have one of the following?
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
Y
\40you have a Floor Plan (sketch or an architectural drawing) that
includes the following, and if so please provide it with the
application?
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.
Toning Tech to cairn pteI the folIowtug;
ViDtatians: -- -
Y
If so, List:
Variance.
(Y'/ N
If so, List:
2�-at
Intake to complete the following:
Y/N
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y /O
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. FAX DATE
Isl
-)
Is p el 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. FAX DATE
Q/ N
on public water and sewer?
Y l(N
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit #
Y l
Wil ere be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Yl�O,
Is this for sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
Proffers:
Ifs+ so, st:
-Spl$:
Y /d!t>
If so, List:
3/28/05 Page 3 of 4
Reviewer to cumpletr th,- follow ing:
Squ.uc footage of I k c Lad
Supplementary rrgulations section:
Parking fonnula:14ps&&pan. tot 646 � � k Ze1
Y /O
Items to he ycrif d in the Feld:
3/28/05 Page 4 of 4