HomeMy WebLinkAboutCLE200500217 Action Letter 2017-08-02Application for Zoning Clearance
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OFFICE USE ONLY ,
ping Clearance - $35 CLE # C �S
Check # Date -
PLEASE REVIEW ALL 3 SHEETS Receipt # StafY:
21— <C-a
PARCEL INFORMATION ��yr yy r� /
Tax Map and Parcel: _ 0 1#0 40f 6 Existing ZoningPDM C
Parcel Owner: I'On-1 � i.c eXt?,rr
Parcel Address:_ L.� -4 �� '� �� Y��� �,� L.Vlevity eAi L e l(.,SLI C(itate _ V /� Zip
------(include suite or-- floor)- --------------------------------------------------------------
APPLICANT INFORMATION j
Who should we call/write concerning this project?
Address �-,�
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' I�y �'� City"IIl,
State VA~ Zip
Office Phone: t -;
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# � J'� ; �(! Fax #
E-mail �1 � 1 ��� ' LI [ I
PROJECT INFORMATION
Business Namel'1)tpe:
X1
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Previous Business on this site:
Propos d e: �C�.F� t'r� ir. �� .; Fi r , !✓ _,�� i i, s (-f." /r ! .,1,. r �'��
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 t Pndl�J)4 rite
•---------------------------------;---------------=-'----------------------------------------------......................... .------------------
AIiPROVAL INFORMATION
( ) Approved as proposed
( ) Approved with conditions
Building Official Date sl31, (2r,
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Zoning Official Date I*Ate5
Other Official �. Date 4 L31 lor ►-)Of7ef sib
••-------------------------•------...-------•----....------......----------------------------.............---------•--......---------------------
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
?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) 1Lote 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 1 `J 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 I N 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 I 1 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.
Y / 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 / N Will there be any new construction or renovations?
t'/ If so, obtain the proper Permit. Permit #
Y Is this for sales of Fireworks?
If so, obtain a copy of F/R permit.
Zoning Tech to complete the following:
F)/[Nf If so, List:
aa�� %-- - OT-
Vat' ce:
Y NN If so, List
Permit #
Y I f N ) If so, List:
SP's•
Y / If so, List:
Reviewer to complete the following:
Square footage of Use: 300 Permitted as:
Under Section: 2.5 . 2 , 1 Supplementary regulations section:
Parking formula: 14.300 98p' -- 1 d 0 Required spaces: 13
Y Items to be verified in the field: k-G . +4 S