HomeMy WebLinkAboutCLE200500234 Action Letter 2017-08-02Aicatiou for Zoning Clearance An
OFFICig
El Zoning Clearance = $35 CLE # — as
Check # Date: qNM
PLEASE REVIEW ALL 3 SHEETS Receipt Staff:
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PARCEL INFORMATION
Tax Map and Parcel: (�; C, rA® in Existing Zoning
Parcel Owner: ',` J5 T e e- , IN arx�-- a H A i2.r2 I
Parcel Address: 2- 6- 1 -S 13 A 2iZ A 0- KS R S City C (14 R-) OiTeStli lState V A- Zip 2 e- q 01
_Sinclude suite or floor)- ------- -------------------------------- ��...--
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APPLICANT INFORMATION _ �.I !
Who should we call/write concerning this project? = 1 G' S ^� IN1A". V1�`�1'lt Nikki],��
.� r� w? 'ram r w�
Address: -/3 /t', �C'i c /tS /fie , City _�:�f1,4/c'%0174e-SDI%%tate �� - Zip 0 z`i �
Office Phone: C2-4; 3�1 Cell # 182 3d Q Fax # 97 7 4-50 E-mail pWAr� tiyL4 er- L - rA rNo r,
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PROJECT INFORMATION
BusinessName/Type: %,j.4 '�' e!(S R(_iJcJ /%rAe-Afe-i 0talc
c. Previous Business Business on this site: Alle lae-
Proposed use: L -/V J& /N [= t~
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet3)
*' Mis 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 v � ? G � Printed kJ ? y tiJr TC, kC
APPROVAL INFORMATION
( ) Approved as proposed ( ) Approved with conditions
Building Official
Zoning Official 144M Date 17 1?S
Other Official Date
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County of Albemarle Depajment of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
3/3120C
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;
91Vb) Tote 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 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�W.ifl there be food preparation?
If•sc�,4ax application to Health Department. FAX DATE
+� ,G"sln'n6f'lgsue-until we teceive approval from Health Dept.
Y N� fs thel�arc�l pn pnvat�,�il and septic?
If so, fax application 'to fHealth Department. FAX DATE
Can not issue until we receive approval from Health Dept.
Y /'R
�Y. I N
YIN
Is the parcel on public water and sewer?
Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
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:
ViorsIf
Y / so, List:
Va . e:
Y N j If so, List
Permit #
Reviewer to complete the following:
Square footage of U e, .
+, ' .
Under Section: �' S ,r
irking formula: ndn crr+crw+-"''ti
n
Y / 14\ Items to be verified in the field:
Prates:
Y N If so, -List:
Y (/ N ) If so, List:
Permitted as: a eyvan , rn e s. 94v2e.
Supplementary reWations section:
Required spaces: