HomeMy WebLinkAboutCLE200500202 Action Letter 2017-08-02Application for Zoning Clearance
OFFICE' E ONLY
Zoning Clearance = $35 CLE # 0
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: _ 069/00 r 00 —00_. —
Parcel
Existing Zoning CO
Parcel Address:_ . 1Li O Aa�j CityState i/c-ot Zip 2,-2"
__--(include suite or floor)_ ------------------- --- _ _ -_--
APPLICANT INFORMATION
Who should we call/write concerning this project?
Address : z o +f ev" City a
Office Phone: ` 4 2 Z Cell # A. Fax #
State VA, Zip
E-mail
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PROJECT INFORMAT40N
Business Name/Type:
Previous Business on this site:
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet3)
*'Ibis 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 owners 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.
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Signaturb / Printed . t/ r?.Ll -J ry vie_
APPROVAL INFO (A�
( ) Approved as p ( Approved with con ' ons p
ilia �� . ., ♦ _ / G SI�.�/
Boil ng Offic1aI
Zoning Official
Other Official
Date `t I ).J .0IL I
Date
Date 2-�3� i,SAAk
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County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9714126
33/2005 Page J 3
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;
�J �-ra Note the square footage of each room or area of use;
d) Note the use of each room or area of use.
Intake t complete the following:
Y i 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 UN 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 ; k 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.
Yj / N Is the parcel on public water and sewer?
Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Is this. for sales of Fireworks?
If so, obtain a copy of WR permit. irermit iF
Zoning Tech to complete the following:
Violations:
Y i N If so, List:
Variance:
Y ! N If so, List
Reviewer to complete the following:
Square footage of Use: M 3
Under Section: • Z ` j 2
Proffers:
Y / N If so, List:
SP's:
Y / N If so, List:
Permitted as:
Supplementary regulations section:
Parking formula: '1 �5F NL+-
-SOX '>1 aw = 1- 392-
YI i N Items to be verified in the field:
Required spaces: :L 5 ACt—
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