HomeMy WebLinkAboutCLE200500238 Action Letter 2017-08-02lication for Zoning4 1>
g
❑ Zoning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS
Clearance
OFFICE USE ONLY 2n.
CLECher" Date:
Receipt # Staff:
a of.1.�s
PARCEL INFORMATION
Tag Map and Parcel: Im Existing Zoning PDW
Parcel Owner: lk
Parcel Address: l P. City State Zip
(include de suite or floo
nclu -------------------------------------------------- ------
-------------------------------------------------
APPLICANT INFORMATION
Who should we call/write concerning this project? U JIX LA '
Address :..1$1>- City Q�v 1State _ Zip��
Office Phone: } - Cell # Fax "mail &MAT&, &W
----------
PROJECT INFORMATION
•,
Previous Business on this site:
Proposed use: lAdd—
i.1104�! _-�.1rj�/lid/a���i����.lni���lis��TaL.
Circle (if applicable): Fireworks 1 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 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 LIG I e.ke qed
----� Y a
------------ ----------------------------------------------------------------------------------------------..�-------------- . -- --
APPROVAL INFORMATION
( ) Approved as proposed U, n
Building Official Date !I I I1 �s
Zoning Official Date q// 3 �T
Other Official c Date 9 /11.0S
-------------------------------------------------...................--...--......--------------III���s-----Md ---�-- ----
County of Albemarle Department of Community Deve opment
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
2 of 3
Applicant MUST HAVE the following information to apply:
QTax Map and Parcel or Address with unit number or floor if appropriate.
a 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 /9 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 / 9) 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 ;' 1`' 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.
I N Is the parcel on public water and sewer?
Y Q 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 / Qi Is this for sales of Fireworks?
If so, obtain a copy of F/R permit. Permit #
Zoning Tech to complete the following:
ariance:
N If so, List
1
Reviewer to complete the following:
Square footage of Use:
Under Section: A `lid,
Pro s:
Y G If so, List:
SP's•
Y / If so, List:
2 0 LOAU + $I (1A,1 riA"I
Supplementary regulations section:
Parking formula: Required spaces:
Y / N Items to be verified in the field: