HomeMy WebLinkAboutCLE200500228 Action Letter 2017-08-02application for Zoning Clearance
OFFICE USE ONLY
❑ Zoning Clearance = $35 CLE # r �
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff.
CS I-�_os
PARCEL INFORMATION n /'�, �J
Tax Map and Parcel: l I�,�f �1 �V '� ���[� Existing ZoningwMsA4vZt- G C` 1
ti
Parcel Owner- r
Parcel Address:,2 1 ! LAA01 City * State Zip�Q%
(include suite or floor-- ---------------- ---- --- - ----
...........................-----------------------------f-- `---------------------/- ------
_ y R r �V S.3o per'
APPLICANT INFORMATION n T°` t�yV•►�e`,_4 ` `� x ���� �, j
Who should we calYwrite concerning this project? C4t,ll
Address: L/I / , ar /ka/ or _ _ City State Zip ZZ�W
- Office Phone: 994 - �®cl Cell # `t3'IJ 40?1%TArj' Fax # 9Y3 dSfPy E-mail
PROJECT INFORMATION
Business Name/Type: fl mac- 5 e-�- Iede
Previous Business on this site: df(s a, &,. 4-f&,eAAw-s
Proposeduse: brliku5 knt9kk9W'1 -
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 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.
Signaturee./>--- Printed ►rC A' G/
APPROVAL INFORMATION
{ ) Approved as proposed (XJ Approvedwith conditions
i —�
Building Official Date05 _
Zoning Official Date 7.�5
-Other OffDate
- ----- • -------------------............
._ -Date .................................................... %04_ SOS
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
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) Dote the use of each room or area of use.
Intake to complete the following:
Y I0 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 I� Will there be food preparation?
so, faxapplictinn#o Health Dg�artnt. FAX DATE
aj , t issue until lwie r&eiv ' ppinva $rorri; ieal� Dept.,.,
Y / Is the parcel on private well andheptic?
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?
N Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y I Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y /0 Is this for sales of Fireworks?
If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
Viol ns:
Y I If so, List:
Var' ce:
Y I n If so, List
Reviewer to complete the following:
Square footage of Use: q
Under Section: 212 - 107.
Permit #
Prof s:
Y 1 . if so, List:
SP's-
Y Iv' If so, List:
Permitted as:-?W(e;5fQtVK AA&
Supplementary regulations section:
Parking formula: 2i $�?�'�/� S Required spaces:
Y Iterns to be ven ed in the field: