HomeMy WebLinkAboutCLE200500230 Action Letter 2017-08-021a •tom,,'
Application for Zoning
Clearance
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❑ Zoning Cfesi•ance = $35
CLE #
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PLEASE REVIEW ALL 3 SHEETS
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Staff:
PARCEL INFORMATION
Tax Map and Parcel: l Aot 79 . fAWeLo, 47-9 All Existing Zoning_ '� c
Parcel Owner: &,W L
Parcel Address: �� 41�� i'cJGAb City dil.GE State 144. Zip "ZZ? 11
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APPLICANT INFORMATION
Who should we eall/write concerning this project? gnk- s_, 1 m)
Address :_- vim .. S3' L City"9= s1j, State __ W1- -- _ Zip 20V
Office Phone: AK ci—n - 10,133 cell # cW t -- LW7 Fax # Q7q - 629C E-mail
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PROAXT INFORMATION
Business Name/Type: t4E.Cy5ALD I+CA6 4?
Previous Business on this site: NW cSiYp�
Proposed use:
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 tha 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 e b t of wledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
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Signature Printed 14)M Arj7 4 .
APPROVAL INFO TION
( }Approved as proposed ►t 11 oved with conditions
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Building Official Date t0 97745II'=l19
Zoning Official Date JoT�s-
Other Official Date
----------------------- .ti!1444..ure-(..a ....�1�-I.4�=.............................................................
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
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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 ! 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 I 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 0 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� 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 #
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91 N Will there be any new construction or renovations? _
If so, obtain the proper Permit. Permit #
Y I N Is this for sales of Fireworks?
If so, obtain a copy of FIR permit. Permit #
Zoning Tech to complete the following:
vi s:
Y +�N / If so, List:
V ce:
yk-N If so, List
Reviewer to complete the following:
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Square footage of Use: 0)- fis f Z _
Under Section:
Parking formula: a
Y I N Items to be verified in the field:
Y A N ) If so, List:
If so, List:
Permitted as: a"
Supplementary regulations section:
Required spaces: 105!A�