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HomeMy WebLinkAboutCLE200500215 Action Letter 2017-08-02Application for Zoning Clearance -n . OFFICE US NLY �7 1 ❑ Zoning Clearance = $35 CLE # Check # Date: PLEASE REVIEW ALL 3 SHEETS Receipt # Staff. PARCEL INFORMATION ��yy Tax Map and Parcel: ©G 1 b 0 O 0 " O � i� oMA,ting Zoning, # Parcel Owner: I C` Parcel Address: jb�m 4� �� u ��e S� ��p�3,� city , �Q t-10 'SOSta a V �f Zip ---------------------------norfoor--------------------------------------------------- ------------------------------------- ---- APPLICANT INFORMATION /' Who should we call/write concerning this project? W - t I.0 &+ae rS 3•uer- 11 SC�.r,- ,J Address : Z(p0 [l t J [� City(V\:a I o44); aK- Statey Zip'13//-� Office Phone: (( - CeII # Fan # 70-?ZIU E-mail 'ba'" 4�0' j 6 uje`qht — uA%J-Lh ,e rb . C d fi ------------------------ PROJECT INFORMATION Business Name/Type: P,r Previous Business on this site: Proposed use: die ins m e e4 i ,i q S _.,----- 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, anew Zoning Clearance will be required i hereby certify that l 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. 4Signature Printed 8.a.(1 9#-,� 6" 1 APPROVAL INFORMATION ( ) Approved as proposed (ITApproved with conditions Building Official Date__-- 01 Zoning Official Date g/ Z?/OS i % Other Official � N� CA Date � 31 ------------------------------------------------------------------------------------------------------------------------------------------------ County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126 2 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 / 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 0 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 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. 19 /V Is the parcel on public water and sewer? N 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 1 0 Is this for sales of Fireworks? If so, obtain a copy of F/R permit. Zoning Tech to complete the following: Ariance: Y Y N If so, List L/ - JR 11 s Permit # offers: N If so, List: %--= ?=M-3) 5's: Y / N If so, List: S —1 I. -a Reviewer to complete the following: Square footage of Use: 1206 Permitted as: Under Section: -,-� S ,? . E Supplementary regulations section: Parking formula: �h Required spaces: J Y f Items to be verified in the field: L