HomeMy WebLinkAboutCLE200500226 Action Letter 2017-08-02UAppllcatlon for Zoning Clearance =
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❑ Zoning Clearance = $35 CLE # —
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff.
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PARCEL INFORMATION
Tax Map and Pafrcel:r�t)a�- —� --0 d _ C) ` - Existing Zoning
Parcel Owner: l� V A
Parcel Address.
1-- State
_-(include suite or floor_
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APPLICANT INFORMATION
Who should we caWwrite concerning this project?
Address: 2 dS14&id a # � -Ity � 1 il' V �� State �% � �pLI-Lb?
Office Phone: L Cell # g5 Q4JL-L')ax # E-mail :Areh& ,Y*
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PROJECT INFORMATiON Jj 1
Business Name/Type: �Az{�} 11%�% � rr1��Y1 f-��'! 1 ri ('r/I C I V'V 1 lrn,-I.n h i l M,01,n
Previous Business on this site:
Proposed use: --(A 4 L4
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.
Sigiature - O&vw _ Printed Prio - cafflAz�
APPROVAL INFORMATION �
( )Approved as proposed ( vY Approved with conditions ,54
Building Official Date lS
Zoning Official Date
Other Official Date �'- j -O� Mau p xb t
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ounty 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;
Ujb) Note the total square footage of the use;
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 / f �T� Is the use in a LI, HI or PDIP zoning?
L / If so, give applicant a Certified Engineer's Report (CER) pact.
Can not issue until CER is approved by the County Engineer.
y / N9 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 1(N j Is the parcel on private well and septic?
v If so, fax application to Health Department. FAX DATE
Can not issue until we receive approval from Health Dept.
N Is the parcel on public water and sewer?
Y / N Will you be putting up a new sign of any kind? n
If so, obtain proper Sign perrnit. Permit #_
Y / N Will there be any new construction or renovations? /�
If so, obtain the proper Permit. Permit # / y C:i--�
Y / N9 Is this for sales of Fireworks?
If so, obtain a copy of F/R permit. Permit #
Zoning Tech to complete the following:
Viol ns:
y /6 If so, List:
Va ' nce:
Y \T If so, List
Y //NT J If so, List:
Y A N) If so, List:
Reviewer to complete the following: - �}
Square footage ofMM .. r � Permitted as:
Linder Section: Supplementary regulations section:
Parking formula: 17 / Required spaces: Gl[k s
�as�c�a ^ �•,
Y / N Items to be veri ed in the field: