HomeMy WebLinkAboutCLE200500237 Action Letter 2017-08-02Application for Zoning
Zoning Clearance - S35
PLEASE REVIEW ALL 3 SHEETS
Clearance
OFFICE USE ONLY aa��
CLE # _ �4J1:'� _
likeek# Date: -
Receipt # Staff-
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PARCEL INFORMATION j
Tax Map and Parcel: 1 - Existing Zoning _
Parcel Owner:��.
Parcel Address: }� City State Ziponq
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APPLICANT INFORMATION
Who should we
call/write concerning this project? -LliU
Address : 0 RCi
OfficePhone:qq��-qgrgCell #
Fax
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PROJECT INFORMATION
Business Name/Type:- J t1 } �� -.., — 1 tZS
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
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 accura to the best of my knowledge. I have read the conditions of approval, and I understand them, and dud I will abide by them.
signature Printed C k ,T I ( ke t,s a
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APPROVAL INFORMATION
( ) Approved as proposed n t
Building Official Date n
Zoning Official Date 4%9t6'
Other Official C ` f Date 9 / D Sr
.............
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
313/2005
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Apglicant MUST HAVE the following information to apply:
�Q 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 / 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 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 I�N3 Is the parcel on private well and septic?
If so, fax application to Health Department. FAX DATE
Can not issue until N.e receive approval from Health Dept.
0/ N.
Y /O
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 #
Y ,G Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y 1 0 Is this for sales of Fireworks?
If so, obtain a copy of FIR permit. Permit #
Zoning Tech to complete the following:
Vin
ns:
Y If so, List:
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,Variance:
/Y y .N If so, List
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Reviewer to complete the following:
Square footage of Use:
r
Under Section:
Pro s:
Y If so, List:
SPI"
Y /(lv'j If so, List:
Permitted as: :6we" —
Supplementary regulations section:
Parking formula: Required spaces:
Y / N Items to be verified in the field: