HomeMy WebLinkAboutCLE200500240 Action Letter 2017-08-02Application for Zoning Clearance 5=
Y/RGLNIA
OFFICE USE ONLY
Wing Clearance = $35 CLE #
pa �� Check # A Date: - �-0
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff: r
PARCEL INFORMATIO /�
Tax Map and Parcel: JQ cr.�a- �J� Existing ZomnL
Parcel Owner: �i'ay-g 59td'w',
Parcel Address: 1:5-1 City ��� ate • fib Zip e2 2
__(include suite or floor_ T`
APPLICANT INFORMATION
Who should we call/write concerning this project?
Address • `-- is �-
Office Phone: L_)
vast t
City Z V" %l
Cell 3f-2V7-9,'ax #
State V.-If-
E-mail
Zip o7a 40 P
PROJECT INFORMATION
Business Name/Type: T-- fine_r, c�ee- /t!:�t&6, Ae
Previous Business on this site:
Proposed use: 540 J_ n S4,_7_11
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 ownees permission to use the space indicated on this application. I also certify that the information provided is
true and accuratZthe of myknowledge. I have read the conditions of approval, and I understand them, and that 1 will abide by them
Signature Printed
APPROVAL INFORMATION
( ) Approved as proposed ( Approved with conditions
Building Official
4
Other Official J Aft Date
r �a�
-- ----- --• --- --- - -------
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
3/3/2005 Page 2 of 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 thestructure;
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 f;.11owing:
Y N Is the use in a LI, HI or PDIP zoning? -i A'W' +(
If so, give applicant a Certified Engineer's Report (CER) packet.
Can not issue until CER is approved by the County Engineer.
Y Will there be food preparation?
���/// If so, fax application to Health Department. FAX DATE
Cannot issue until we receive approval from Health Dept
Y / 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.
Y
/ N Is the parcel on public water and sewer?
6�N o Will you be putting up a new sign of any kind?
�/ If so, obtain proper Sign permit. Permit #
Y 16D Will there be any new construction or renovations?
If so, obtain the proper Permit Permit #
Y /O Is this for sales of Fireworks?
If so, obtain a copy of F/R permit.
Zoning Tech to complete the following:
Viol I
Y IlJ If so, List:
Var' e:
Y N If so, List
Reviewer to complete the following:
FT
Square footage of Use: .. w;, - L
Under Section: 2 7.2. 1 `i
Permit #
Pro
Y / N If so, List:
N If so, List:
Permitted as: UA-4.e�.�i�
Supplementary regulations section:
Parking formula: ! 5 f• Required spaces:
Y. C� Items to be verified in the field: