HomeMy WebLinkAboutCLE200500227 Action Letter 2017-08-02Application for Zoning Clearance a
OFFICE USE 01 5 -?a 7
[Zoning Clearance — $35 CLE # p
Check # ol Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # S �1 q S Staff- _E' W c' w--
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PARCEL INFORMATION f 15 a
Tax Map and Parcel: 7
Parcel Owner• - A?? y G 44�/L
Existing Zoning _ H e-
Parcel Address: IFFY J cQe ! rl CgL-[X- 7f City C� Jr!f ��� Statey'*- Zi 1
---Sinclude suite or floor- -------------------------------------------------------------------------
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APPLICANT INFORMATION
Who should we call/write concerning this project?
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Address • City
Office Phone: '( 3`1] _ 0 '` 73- a 136 Cell # L $ -Oto
PROJECT INFORMATION
Business NamelType:
State Zip
: # E-mail CkM f ! i doivm 'I•
CaM
Previous Business on this site: '�A fn e-
Proposed use: R �' e; a a y rj� Plj° het P - q -1 -0 S k r DL4 2'k `l - 5` Q y
Circle (if applicable): Fireworks I 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 best o Wd,,,Iread the conditions of approval, and 1 understand them, and that I will abide by themSignature �rl Printed
L INFORMATION
as proposei
Building Official
Zoning Official
Other Official "I TOMW
Date
Date
aS �olrlF��t��n�
Date
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County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
3/3/2005
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 aT 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 / 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.
YJ I 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?
�v� If so, obtain the proper Permit. Permit #
Y /(N J 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 / T If so, List:
T T C. flB
Va ' ce:
Y 3`T If so, List
Reviewer to complete the following:
Square footage of Use:
Under Section:
Parking formula:
Y / N Items to be verified in the field:
Pro rs:
Y / N If so, List;
SP1
Y (' N ] If so, List:
Permitted as:
Supplementary regulations section:
Required spaces: