HomeMy WebLinkAboutCLE200500239 Action Letter 2017-08-02Application for Zoning
Clearance
-.
❑ Zoning Clearance = $35
OFFICE USE ONLY OLE o + Zq
CLE # -
Check # Date: - -
PLEASE REVIEW ALL 4 SHEETS
Receipt #
Staff:
C-a F f —6
PARCEL INFORMATION
Tax Map and Parcel: uT900 —06 .g
U U
b Existing Zoning � MG
%
Parcel Owner LZ i 1 i 0 t/ B c h M- D.
Parcel Address: (oM �e�eY '��Nn Pkj�w#no City C-k&v-la+LazjkLa- State VA
(include Suite or floor)
Zip 2.Z`1 11
APPLICANT INFORMATION
Who should we call/write concerning this project? Flb+ua;l ReLlit
Address: U30 Pk-L,,y,S-t- 36D City CkIo lc -KaS u ilk- State VA Zip Z Zg l 1
Office Phone: 615J 91?2 -i'7d O Cell # q3y-ISS-JI,97Fax # (13y-9'2 73y2 E-mail G.1b iSce I . k �ckt C.yrt ; • Ifv
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PROJECT INFORMATION S
Business Name/Type: ; no-\ s r- Y-V A S S a c-.co—kv-5 Q L L
Previous Business on this site:
Proposed use: i(ZL� C tf(4.
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1)
*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 o have the o ner's p ssio use the space indicated on this application. I also certify that the information provided is
true and accurate to the be of my o ed . ve the conditions of approval, and I understand them, and that I will abide by them.
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Signature Printed C-N I I I &rn .5o k o u M. D-
------------------------------------
APPROVAL INFORMATION
( ) Approved as proposed
A Z'
Building Official A. Date
Zoning Official Date le I137['S
---------------------------------------------- �---------------------------------------------------U.J-11as t -G�4. .
County of Albemarle Department of Community Developt
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
1/26/05 Page 2 of 4
Applicant to complete the following:
Intake to complete the following:
Y n /(
Do ave one of the following?
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
Qyou have a Floor Plan (sketch or an architectural drawing) that
includes the following, and if so please provide it with the
application?
The total square footage of the use and/or;
The square footage of each room or area of use;
Use of each room or area
If using less than the entire structure, note the location within the
structure.
Zoning Tech to
Vlnl�l{PA( a'"%.
f'51.7, LJSti
1be rollowing.
YIN
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
YIN
Will there be food preparation?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from
Health Dept.
Y/N
Is parcel on private well and septic?
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from
Health Dept.
Y/N
Is on public water and sewer?
YIN
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit #
YIN
Will thttre.be Amy new con aruetlon or rarro ationsrl
II sir . obtain. thr proper Permit.
Kermit;;
Y/N Ab 10
Is this for sales of Fireworks?
If so, obtain a copy of FIR permit.
Permit #
Pro
Y N1
Ifau,
Y �V
Irsu; C:lsl.
1/26/05 Page 3 of 4
FCR,�-4 sewer to eomplert Ikro fa#u%-h g:,nnrc r. nragenl'LJse
Y / N 1 i /Glj
Permitted as:
Under Section: ,C_� 1 "� R� • 2 • �-
Ski ppJeinen[ary regulatios,s s6v liun,
Parking formula: 4 Siva(• Pcr20Sr- fJet—
Requiredspaces:
Y N
ILJs w be verified in tJre field:
Inspectoir Name & Date:
Notes
1/26/05 Page 4 of 4