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HomeMy WebLinkAboutCLE200500213 Action Letter 2017-08-02Application for Zoning Clearance = }� OFFICE US9 ONLY El Zoning Clearance = $35 CLE # 0 " elf Check I Date: PLEASE REVIEW ALL 3 SHEETS Receipt # Staff: rkll PARCEL INFORMATION n Tax Map and Parcel: Q r WO Qf c ►* - 0o T00, 1._ - 1 0 Existin Zonin +. r - R Parcel Owner • ' r or le _ ...... . Parcel Address: Y© �,��� City Chae v Zip 2Z�lc� f Ji State -__-------. _(include suite or floor} -- APPLICANT INFORMATION r _ Who should we call/write concerning this project? i L,)/4,„- o,- T o c r k Address : b'- �"' c City C. 1A-' P JP 4- State !T �— . � _ zip zz7?e/ Office Phone: r2U L7S-Z d f S Cell # Fax # Y -Lai I E-mail PROJECT INFORMATION. Business Name/Type: Previous Business on this site: Proposed use: It _e Pell, 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 1 understand them, and that I will abide by them. Signature i,K 62t' 'rj_j 4:23—_ Printed /t•' e4 ty /.o ': APPROVAL INFORMATION ( ) Approved as proposed } Approved with conditions X4__ butitying Ufficial Date It t+a Zoning Official - Date Other Official Date 31 O5 fU al t_C SLAfi- 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; Db) Note the total square footage of the use; YL 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: N Is the use in a LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y / ifs 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 / 11' 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. DY�' 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 # N Will there be any new construction or renovations? If so, obtain the proper Permit. Permit #� Y 1QIs this for sales of Fireworks? ' If so, obtain a copy of F/R permit. Permit # Zoning Tech to complete the following: Vi +:lt7 t r . ,. 5 Vare: Y / jN ),If so, List / N If so, List: Y Y N If so,' List: spmrsq o 09 SquJ&tgp¢2S'Permitted as: Under Section: r '1 W Supplementary regulations section: Parking formula: t Required spaces: S � �P N Items to be verified in the field: