HomeMy WebLinkAboutCLE200500233 Action Letter 2017-08-02p Aplication for Zoning
❑ Zoning Clearance - $35
PLEASE REVIEW ALL 3 SHEETS
Clearance
OFFICE USE ONLY
CLE #
Check # U d4 Date:
Receipt # Staff:
PARCEL INFORMATION �t
Tax Map and Parcel: ��� 00 00 - 4:247 /90 Existing Zoning_lam/
Parcel Owner; 1
Parcel Address: 1 b q c) 52" I r' o) a 19 City chg m ie 4 es l ) le-- State 0-zip ?90 I
(include suite or floor)-- ------- ----------- ----- -- -------- - -------
APPLICANT INFORMATION
Who should we call/write concerning this project? J&,J= rr a ji L_)t�
Address : R i l_l � ► t~ h I e' E2R _ 1 tt City tate V O� Zip
q3
Office Phone: c178 - 4 7 5 7 Cell 54 L -1 C52— Fax # 97� -ti 75 7 E-mail
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PROJECT INFORMATION
Business Name/Type: 1C,
� r �
Previous Business on this site:
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.
1 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 knowled . I have read the conditions of approval, and I understand them, and that I will abide by them.
i_ �, ` Lj
Signature Printed De,6o y c� V 1 V J Y l of
APPROVAL INFORMATION
( ) Approved as proposed Approved with conditions
Building Official <ZDate i ( I -g- _
Zoniug Official Date 1
Other Official D e /
. R. f�l �fdpaL� -.` �mu ta . ill ... r
.-
Countyof Albemarle De artm nt of Com nl Develo e
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
3/3/2F.05 Page ? ,)f 3
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;
4L 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 tD 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.
N Will there be food preparation?
If so, fax application to Health Department. FAX DATE
Cannot issue until we receive approval from Health Dept.
Y / "v' Is the parcel on private well and septic?-�f-
'� If so, fax application to Health Department. FAX DATE
Can not issue until we receive approval from Health Dept.
YJI N Is the parcel on public water and sewer?
Y. /(9 Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y 1 N' Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y / fN ""D this for sales of Fireworks?
'--/If so, obtain a copy of F/R permit. Permit #
Zoning Tech to complete the following:
Vio ns: Pro
Y If so, List: Y If& If so, List:
AIL, g?aEjo _
Y.N.. If so, List 51 N If so, List:
$1P F—
Reviewer tO.'tFR6jffi the following:
Square footeUs�., )� Permitted as: �q '�
Under Section: • 2' 1 63 O Supplementary regulations section:
Parking formula: 3 SOidt4tS 1� I _ _
k �3� a`i SPA'
Y / dItems to be verified in the fie`i:'4
Required spaces: Sites -
j/j/lUU.) raged dr s
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;
0/r'`b) Note the total square footage of the use;
4L 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 1 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 / NIs 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 /0 Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y /Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #-
Y / this for sales of Fireworks?
If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
ViFnSlf
Y so, List:
Permit #
Prot:
Y / N If so, List:
v lance: .
Y N If so, List Y N If so, List:
f ? 2G%
Reviewer to complete the following:
Square footage of Use: a, d Do s
Under Section: 2,4 - 2 - 1 (3 0
Parking formula: 13 5VAkS rW 16D
I�I
Kc "3,
Y tems to be verified in the fiek v
Permitted as:
y -
Supplementary regulations section:
Required spaces: s tZ5 -
rL