HomeMy WebLinkAboutCLE200500231 Action Letter 2017-08-02Application for Zoning
❑ Zoning Clearance = 535
PLEASE REVIEW ALL 3 SHEETS
Clearance
OFFICE USE ONLY
CLE #!J
Check # 006 -7f Date: Ff- 3 ! r Or
Receipt # 97 Staff. •
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PARCEL INFORMATION
Tax Map and Parcel: _ 01 Existing Zoning (' f
Parcel Owner: ,5 q O CaS YL
1 MacLsj 44C t7
Parcel Address: q J e "I'�j, ar C r.'cl City Chaff p{�`P51/j /c-State cb , Zip -W-9 1
include suite or floor ------------ --_------- -
---------------------------5----------------- )---- -- -------------------------------------- --- ----- -
APPLICANT INFORMATION
Who should we call/write concerning this project? �Oiy_ 1-D1- V '
Address :9 oa Cxarde Ivd, 5te goo city CkwrIchcsyf dC State Vet- zip'22q:D1
Office Phone: EIO aZ 1
�� fir- $�,_ Cell # � (o �. d o5�l.� Fax # �i7y�`iD9a- E-mail ci i t►�l e tri �
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PROJECT INFORMATION
Business Name/Type:
Previous Business on this site:
11
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
Signature Printed JO h n l V I n f
APPROVAL INFORMATION
{ ) Approved as proposed { Q A�oved with conditio
4R"LI -44SI 202d
Building Official 'Aj'j' -N. Date____
Zoning Official Date 0176 2CX�
6Sto0-to
Other Official Date
----------------------
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
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 / 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 / N 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
Can not issue until we receive approval from Health Dept.
Y / N Is the parcel on public water and sewer?
Y./ N
Y/N
Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit N.
Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y / N Is this for sales of Fireworks?
If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
Vi do s:
Y T N If so, List:
Va a e:
Y / N If so, List
Reviewer to complete the following: fo
' Square footage of Use: .:.i , �4Z
Under Section: l- 1
Permit #
Pro):
Y N If so, List:
SP
Y Iv' If so, List:
Permitted as: LA b tt
Supplementary regulations section:
Parking formula: GG 2W 5F tk, ` Required spaces: Cl� '
/Q�7C' ri0 r.
Items t bverified in the field: