HomeMy WebLinkAboutCLE200500243 Action Letter 2017-08-02'Application for Zoning Clearance
OFFICE USE ONLY 4zoning Clearance = $35 CLE # &E �5 443
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff-
PARCEL INFORMATION
Tax Map and Parceel� i , Existing Zonin
Parcel Owner: Lh tf 1! V)fr�AVQ" 0
Parcel Address: '
---_---_ ----___(include suite or floor
City
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State Zip
APPLICANT INFORMATION
Who should we call/write concerning this project? PJ TC = T'T p As
Address E 0 , n- C_+. City j i UZ Sta 2410
Zip � J
Offs hone: ¢' G'o 'ell # P-i a ,) b (1 Fax # Z 20-
f016 E-mail cA H ek �d�
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PROJECT INFORMATION
Business NamelType: _ " r14 O
5: CC t
Previous Business on this site:
Proposed use: 41"' s)1a (, 0 & A L-
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 accurate to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature 9 Punted ,4 j TO ! iV 6,-T , r E g - t' j+O j,"Pz&-
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APPROVAL INFORMATION
( ) Approved as proposed
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i Aimr(]ved with*M
rnndifie%ne
Building Official Date j o 0
Zoning Official --- Date € o
Other Official Date
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County of Albemarle Department of Community -Development ------•-------------------
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
Applicant MUST HAVE the following information to apply:
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 mom or area of use.
Intake to complete the following:
Y I(9Is 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 10 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 A N 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)I tii 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 #
Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #_
Y I` 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:
If so, List �
Reviewer to complete the following:
Square footage of Use: P .
N If so, List:
SP's/• s/•[ N) If so, List:
I nm'
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Under Section: 3 - .�- �- Supplementary regulations section:
P rking formula:
�
k Required spaces: 2 5 S
��PLL �¢ r ZVp SF
/ N Items to be verified in the field: