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HomeMy WebLinkAboutCLE200500223 Action Letter 2017-08-02Application for Zoning Clearance � �n OFFICE USENLY ❑ Zoning Clearance = S35 CLE # Check # Date: - PLEASE REVIEW ALL 3 SHEETS Receipt # 5- Staff: �,b9t�l •ar PARCEL INFORMATION / Tax Map and Parcel: __ _D�6� } —[ t0'940 Existing Zoning__ Parcel Owner: :D2Q n r r� �]1�- f Parcel Address: .S r (e ©t"O �� ` t'W✓' 1. State Q Zip --(include suite or floor)-- ----------------------- - ---- - -- ----- - -- APPLICANT INFORMATION Who should we call/write concerning this project? ca.5r—1 04L(I1-114 -' C i malty Ci1ari. V n Zip Z°Z 4 Address: i 4ayr�A_ t"r Ci State Office Phone: C [� ! ^ 7 4t-•Cell # -7 Ce C� " [ �Fai # l - ZZOE-mail PROJECT INFORMATION Business Name/Type: AA Uo4Qe - Previous Business on this site: k—.J A L. i C V"Qn se-r%.) I Cdu Circle (if applicable): Fireworks 1 Christmas Tree SEE CONDITIONS OF APPROVAL 11? 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 owners 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�'ii� CA APPROVAL INFORMATION ( ) Approved as proposed ( eA;roved with Building Official Date U IL Zoning Official _ Date _q /-1,- 1 los Other O f cial 4 Date ..----------- ----- - --- ---- =�- qs_.------- -- --------------------------------------- County of Albemarle Department•of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 3/3/2005 Page 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 1 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 kN 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 1 N 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 # Y ( Will there be any new construction or renovations? � If so, obtain the proper Permit. Permit # Y 10 Is this for sales of Fireworks? If so, obtain a copy of FIR permit. Zoning Tech to complete the following: Permit # 'olations: Y 1 N If so, List: 5 S r o0iu 0MATED Cy S 0 f-1►1 r 4V 10-Z00S-2-0,z Va ' ce:. Y / If so, List ri&46 complete the Square footage of Use: Under Section: 2�� l ) Pro s: Y If so, List: N If so, List: Sig - 1 qq2-- 029 Permitted as: Supplementary regulations section: Parking formula: 1 `t`t00 - vjm Required spaces: �i Y I N Items to be verified in the field: