HomeMy WebLinkAboutCLE200500216 Action Letter 2017-08-02tir
Application for Zoning Clearance
OFFICE USEr Y
❑ Zoning Clearance = S35 CLE #
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff: i�E
2jr
PARCEL INFORMATIQ O'�/
Tag Map and Parcel: -M /JR b0 Existing Zoning
Parcel Owner: L �j12AI1 4,/2F CQ
Parcel Address: 2O 3 0 a4 �ZAIpJZ- /%, City - State 4� Zip 22.®,%
(include suite or floor)
APPLICANT INFORMATION
Who should we call/write concerning this project?
Address: 21d 3 0 ?M1dzz 71 CIty 4 Z, 40—f State 41, . Zip Z2.9&'
Office Phone: Q7�/ Cell #
PROJECT INFORMATION
Business Name/Type: [.c1
Previous Business on this site:
Fax # E-mail
Proposed use: Z01- __ __ O la & 1- U 1xi
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 of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed
--------------- ------------------------------------------------------------------------------------------------------------------------------
APPROVAL INFORMATION
( ) Approved as proposed ( } Approved with conditions
rg Official
Zoning Official Date Aglos
Other Official j Date 3 j % 0S
fib fi�#
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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 ? N Is the use in a LI, HI or PDIP zoning?
LI/ 1o'-,If so, give applicant a Certified Engineer's Report (CER) packet.
Can not issue until CER is approved by the County Engineer.
Y /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.
I& i N is the parcel on public water and sewer?
Y 1 {i% Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit#,
Y/0N
Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y 19 Is this for sales of Fireworks?
If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
Viol�'ons•
' Y II N ] If, so, List:
j l./
Va' ce:
Y o If so, List
Reviewer to complete the following:
Square footage of Use:
Under Section:
Parking formula:
Y / h Items to be verified in the field:
Permit #
. If so, List: � A-1104t W
71.1.4.E , 0-14W . J0441
51
I If so, List: CAV- f G41!"
Permitted as:
Supplementary regulations section:
Required spaces: