HomeMy WebLinkAboutCLE200500211 Action Letter 2017-08-02Application for Zoning
❑ Zoning Clearance — $35
PLEASE REVIEW ALL 3 SHEETS
Clearance a
OFFICE UX0ON
0 Y D a A 1 I
CLE # '"
Check # Date:
Receipt # Staff: o_L7e S
PARCEL INFO N� _O O DC� �� 0 O
Tax Map and Parcel: A' Existing Zoning
Parcel Owner: c:� A — Lam+
Parcel Address: �'/ �7rIYI � QL4�.� City COViuAC, State Vk Zip���
---------------------------(inc-ludesui-t-e orfloo
- ----- r)----------------------------------- ------------------------------------------------ -- ---
APPLICANT INFORMATION
Who should we
rr c��all/wAte concerning this project?
Address: `i Ti MPre&t O� i�i�� City f' P'Vl1L-- _ State zip f�fl
Office Phone: . 96 �i J �sl `7 Cell #oz�f� 6N3Q Fax # (v"f / E-mail
------------------------------------------------------------------------------------------------------------------------------------------------
PROJECT INFORMATION
Business Name/Type:
Previous Business on this site: ^Fl &&-
Proposed use• _ C O %O
T_
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet3)
*'Phis 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 of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature AF�11 Printed
---------------------------------------------------------------------------- --------------- 6 --------fi-----9)�
-----------------------
APPROVAL INFORMATION / �&
( ) Approved as proposed { Approved with conditionsC—
t i(i
Other Official Date
..................................r................................................................................------.............
County of�ilbemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
3/3/2005 Page L of 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;
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 10 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.
V4
Y
("I
J
Y
Y
Y
/[No Will there be food preparation?
1�.� If so, fax application to Health Department. FAX DATE _
Can not issue until we receive approval from Health Dept.
1N Is the parcel on private well and septic?
If so, fax application to Health Department. FAX DATE _
Car, not issue until we receive approval from Health Dept.
N Is the parcel on public water and sewer? .
1 N1 Will you be putting up a new sign of any kind?
o If so, obtain proper Sign permit. Permit #
NoWill there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
OIs this for sales of Fireworks?
If so, obtain a copy of F/R permit. Permit #
Zoning Tech to complete the following:
Violations:
Y / If so, List:
Variance: -
Y 07 If so, List
Proffers:
Z/ N If so, List:
SP's:
EJ6 / N If so, List:
K o — 2
Reviewer to complete the following: a
Square footage of Use: I` t1 Permitted as: ,
Under Section:- 7 -5; Supplementary regulations section:
Parking formula: Required spaces: 3 0 r. w
Y. /6P Items to be verified in the field: