HomeMy WebLinkAboutCLE200500229 Action Letter 2017-08-02Application for Zoning Clearance
OFFICE USE ONLY
Wing Clearance = $35 CLE W±4�
Check # C&itj Date: / ,S—
PLEASE REVIEW ALL 3 SHEETS Receipt # G'S7 ; Staff:
PARCEL INFORMATION Q�wn.,�vmA Dd�l�elw�^
Tax Map and Parcel: C '5?. oc - dQ - o c - ort'!: 00 —ExistingZoning Mt &,q
Parcel Owner: 1Ao Z L--1Ai X 0 C D,m'r1C4 4,4 e- C lia A& d k4+l A rA d•T Y
LO&Mmr 4ae.aS I -at ft A yq5 ►Kffr4rll St'
Parcel Address: `?&%Xnl d a .�r$L+. o /t ry a City-+,i.Ntt► iLL% State V A 7,ip
____(include suite or floor)_
APPLICANT INFORMATION
Who should we call/write concerning this project? 0--\ pAa.4a mn
Address : \ C 4 k4 'JCt4 ntc V16PAI K4 City "V4, b,L State
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Zip 2d-Z 43
Office Phone: U a7i�.,'3 �� Cell # -)a 5-1 � ,LilA4Fax # 341-r%1 ^'" E-mail S FAd .L� t5yCb1 -.g,. � 4 ueTt�
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PROJECT INFORMATION
BusinessName/Type: CiXt'" 4b"56 bAA*kt A,4L4
Previous Business on this site: Ac Hd
Proposed use: b A Ft Vtftt
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 accura 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 _ZA"M L' , 1A a+[,0A, 10
APPROVAL INFORMATION
( ) Approved as proposed ( Approved with conditions *i54
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Building Official
Zoning Official
Lr_�_i� �•�sy t=
Date -L �
Date `3 P 0
Date
----.-__...-- -_--.-._..County�of Albemarle Department of Community Development .........
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
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Ap licant 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 I a 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 9 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 /(N) Is the parcel on private well and septic?
If so, fax application to Health Department. FAX DATE
CY)l
Can not issue until we receive approvalfrom Health Dept.
N Is the parcel on public water zMd sewer?
Y 1 N Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
L f N Will there be any new construction or ren vations? D
If so, obtain the proper Permit. ern it # 4f
Y ! Is this for sales of Fireworks?
If so, obtain a copy of FIR permit. Permit #
Zoning Tech to complete the following:
Violations:
Y / N If so, List:
Variance:
Y 1 N If so, List
Reviewer to complete the following:
y::!.bV If so, List:
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If so, List:
Square footage of Use: Permitted as:
Under Section: 2 5 !� 2 ( a Supplementary regulations section:
Parking formula: Required spaces:
Y / N Items to be verified in the field: