HomeMy WebLinkAboutCLE200500241 Action Letter 2017-08-02Application for Zoning Clearance
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OFFICE
❑ Zoning Clearance - $35 CLE #
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
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PARCEL INFORMATION
Tax Map and Parcel:
Parcel
Existing Zoning C
Parcel Address:_2V51 ac Y nozil%4. City C , V i ir! ei State V6L • zip ?i 0�i
----------- include suite or floor -----------------------------------------------------------
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APPLICANT INFORMATION /
Who should we calUwrite concerning this project? ON+3 zz,
i
Address : ! City . V 1� _ State _
Office P one: C___ ) 5 ' , b) Cell # Fax # E-mail
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PROJECT INFORMATION
Business Name/Type:
Previous Bush
Proposed use:
Zip
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 owners permission to use the space indicated on this application. I also certify that the information provided is
true and accurate to the b my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them
1--l"J1
SignatureJPrinted Dln a /7
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APPROVAL INFORMATION
( Approved as proposed
Building Official
Zoning Official
Other Official
( ) Approved with conditions
Date
Date 4R1(S�zLID C5
Date ��19��5 N[►'17(.�D
------------------------ - - - - -- ------------------------------- County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
313,7005 Paee 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 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 , 7 I e.use in a LI, HI or PDIP zoning?
so, give applicant a Certified Engineer's Report (CER) packet.
Can not issue until CER is approved by the County Engineer.
Y Itj�ill there be food preparation? '4 x
C�"If so, fax application to Health Department. FAX DATE W
Can not issue until we receive approval from Health Dept.
N Is the parcel on private well and septic?19 Q
If so, fax application to Health Department. FAX DATE q
Can not issue until we receive approval from Health Dept.
Y Is the parcel on public water and sewer?
N
Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
N Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #`'��
Y Is this for sales of Fireworks?
If so, obtain a copy of FIR permit. Permit
Zoning Tech to complete the following:
Vio�ons:
Y ► If so, List:
r
Varese:
Y .[ Iv J If so, List
Reviewer to complete the following:
Square footage of Use: 3 r :Soo
Under Section: 2 y • Z'
Y N If so, List:
62-0
Y N Ifjo, List:
-5 , '73 - 2$8
Permitted as: StiDVIWC Qgt o_
Supplementary regulations section:
e� R aired spaces: 4� sPau S
Parking formula: � eq p
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items bef�ld: le, �_