HomeMy WebLinkAboutCLE200500220 Action Letter 2017-08-02Application for Zoning Clearance
OFFICE USE Y
❑ Zoning Clearance = 535 CLE #
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # 5 Staff:
PARCEL INFORMATION
Tax Map and Parcel: 0/7900 ~ 00 -'00 - 077 W Existing Zoning
Parcel Owner: NIaQ N C;
Parcel Address: 2050 A bE SukTE% ' CityQRAkLCXT1ES*LLEState '�A Zip ML
include suite or floor --------------------------------------------------
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concerning this project?
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PROJECT INFORMATION
Business Name/Type: 'T E0 -i; t' 06Uk? Gi CALL- TL— L-LC
Previous Business on this site: i' F=0
Proposed use: _ SuP-GLCAL !Z KT-E'er
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 Qte ge. I have read the conditions of approval, and I understand them, and that I will abide by them
signature w Printed �Ei.. Lac-1 lA
APPROVAL INFORMATION
( ) Approved as proposed Approved with conditions 0-
Building Official �~ Date Si 4 [ L'* T_
Zoning Official Date
Other Official Date ] 3 f 18� Pont S `AIT,
- County of Albemarle Department -of Community Development - - - - - - --
-.� �bj401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
3/312005
2.0 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;
WL c) Note the square footage of each room or area of use;
d) Dote the use of each room or area of use.
Intake to complete the following:
Y / ND 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 > 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 r 'S� - 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 #_ _
YIN
Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y / ONIs this for sales of Fireworks?
If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
Viol ons:
Y / 1V If so, List:
Vari ce:
Y / If so, List
Permit #
Prof s:
Y /& If so, List:
SP's:
Y / N If so, List:
Reviewer to complete the following::
Square footage of Use: NCO Permitted as:
I
Under Section: 2S A . Supplementary regulations section:
Parking formula:
Y / N Items to be verified in the field:
Required spaces: 12