HomeMy WebLinkAboutCLE200500212 Action Letter 2017-08-02Iication for r Zoning ���
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OFFICE USE ONLY
Zoning Clearance = $35 CLE #
Check # D 6 V Date: S 6—
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
PARCEL INFORMATIO �j AT
Tax Map and Parcel: .�6G;� 2'--"0/-00 —0Existing Zoning
Parcel Owner:
Parcel Address: I City
____(include suite or o_
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APPLICANT INFORMATION
Who should we call/write concerning this project?
State
WEA Ire P6�-D Aio n, 7 ;
Address ' 519 q T ke Sj ka Ci C&o :& tT- State
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Office Phone: 'FC_ D 19,3 - q6-f Cell # 1?.%5--` G?6 Fax #
Zip
VA- Zip ;La q 3 v
E-mail W¢AVEUACE @ APL. COv\
PROJECT INFORMATION
Business NamelType: Wk;, C e4 r n G. WQrl<Z h,s a.t+k CO
Previous Business on this site:
Proposed use: (512,1-
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.
1 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 Printed J AufzA ?J & D -�no i7_. 9//S%
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APPROVAL INFORMATION Al e...&
l i Annrnved as nrnnnsed ( 11.Annrnvi-d with nnnrlitinns
Building Official _ _ Date
Zoning Official Date Vz 3
.�fles
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Other Official �o�. A Date q
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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
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 /f N) Is the use in a I or PDIP ao ' g?
�/ If so, give appl' nt a Certified En ' is Report (CER) packet.
Can not issue nti CER is approve he County Engineer.
Y 1 \ 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 1T ' 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.
9 N Is the parcel on public water and sewer?
Y ' N Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y / Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y / v' Is this for sales of Fireworks?
If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
Violations:
Y / N If so, List:
Variance,
Y / N If so, List
Reviewelto dooftu At
( %blt+i n4,.1
Square footad4 &QJRp.,U
Under Section: O�J • Z
Permit #
Proffers:
Y 1 N If so, List:
SP's:
Y / N If so, List:
Permitted as RKf &K4 1-
Supplementary regulations section:
I
Parking formula: Required spaces: 42
/ N Items to be verifiel in the field: - t