HomeMy WebLinkAboutCLE200500222 Action Letter 2017-08-02Application for Zoning Clearance =T
OFFICE USE
❑ Zoning Clearance = S35 CLE #
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: �� -- _(� ,� % b Existing Zoning_M� -
Parcel
Parcel Address: 30 i TE2 FFF-VEWA — City CMRiXSY1LLE State Zio (I
........................... (include sufte-or floor)------ -----------------------------
APPLICANT INFORMATION Who should we call/wrlte concerning this project? �� �.�t 1k?_1C
Address S01%06 CityNAQU C ESI LL E State VN Zip W 1 I
Office Phone: (jaA) !{-( rj 255 S Cell # Fax # qT4' E-mail
------------------------------------------------------------------------------------------------------------------------------------------------
PROJECT INFORMATION
Business Name/Type: •O A r. LL.C,
Previous Business on this site:
Proposed use: L WD, C Kt -b�!Ak
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet3)
"71is 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 a to to f ledge. I have read the conditions of approval, and I understand them, and that 1 will abide by them.
Signature �— — Printed �_F rV� L,LECH i A
APPROVAL INFORMATION
( ) Approved as proposed (Vpproved with conditions
Building Official
Zoning Official 11�
Other Official w
Date -v
Date /,off .
Date 714
•------------------------------------------------------------------------------------------------------------------------------------------------
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
3/3/2005 Pa el-OY 3-11
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 rise:
Intake to complete the following:
Y / N 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 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 N 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?
YIN
YIN
Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #_
Y / N Is this for sales of Fireworks?
If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
Permit #
Vial ns:
Y / If so, List:st: N
> - 2aa — a Jib F40 U AJD
s
Var' ce:
Y / If so, List
Reviewer to complete the following:
Square footage of Use:
Under Section: 05
A .2 ' 1 •2'�
Pro s:
Y If so, List:
SP's
Y / P If so, List:
Permitted as: Srm -& -
Supplementary regulations section:
Parking formula: Required spaces: 5swLs
(9" X' $jyoo w 7 • MG
Y• QS Items o be verified in the field: