HomeMy WebLinkAboutCLE200500203 Action Letter 2017-08-02Application for Zoning Clearance
OFFICE USE ONLY
❑ Zoning Clearance = $35 CLE # � - Ob 5 o� O 3
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
PARCEL INFORMATION 0 o
Tax Map and Parcel: 0 -t0 —Q Existing Zoning_ y r'!
Parcel Owner: S P L C
(o OO �"
Parcel Address: Qe4m �! �►ti �CiLc.�� . City C- V \\e StateyP.% Zip Z.ZA O----------------------
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a_ (include suite or tloor�
APPLICANT INFORMATION
Who should we call/write concerning this project? C' ;r- 'S 3-)0
Address : O ?e4- rt rw'. c, r " . City
Office Phone: a 2e. o u'4 3 b Cell #
Fax #
State _ U w zip 22io [
E-mail
PROJECT INFORMATION
Business Name/Type: h,n t �'-'�4
Previous Business on this site: V\ t W c0r
Proposed use: eK tv 4 �'� r• -'.-
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 the best knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature 9�rPrinted ram.
APPROVAL INFORMATION
( ) Approved as proposed A roved with conditions
PP
Building Official Date
Zoning Official — Date
Other Official
Date
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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;
OIL
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 / 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 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.
1 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?
If so, obtain proper Sign permit. Permit #
Y / N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit # 05 ' �
y I N Is this for sales of Fireworks?
If so, obtain a copy of F/R permit. Permit #_
Zoning Tech to complete the following:
Vio�'ons:
y ,( Nj If so, List:
Vag ne:
Y If so, List
Proffers:
Y / If so, List:
SP'
Y If so, List:
Reviewer to complete the following: _ .. s
3� . i
Square footage of Use: _. �� -+ � Permitted as:
Linder Section: �" :� • C2. Supplementary regulations section:
Parking formula: 4 2m0 Required spaces:
Y / 6 Items to be verified in the field: