HomeMy WebLinkAboutCLE200500244 Action Letter 2017-08-02lication for Zoning g Clearance
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OFFICE USE O Y
❑ Zoning Clearance - 535 CLE #
Check Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # staff.
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PARCEL INFORMATIO/
Tax Map and Parcel: f —0) — 69I lr D Existing Zoning
Parcel Owner:
ParcelAddress; 2OZ9 City (A104 tate _ zip Z Zqa1
--------------------------- suite_or floor
APPLICANT INFORMATION �
Who should we call/write concerning this project? t
Address : U 1
City tote _V _ _ zip 7 2 qr�/
Office Phone: ( � _� y2 / 03a & Cell # — L Fax # E-mail
PROJECT INFORMATION
Business Name/Type:
Previous Business on this site:
Proposed use:
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 to th best of m knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed tj 1 ;(5
APPROVAL INFORMATION
( ) Approved as proposed
(Approved with conditions
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Building Official Date ' a 3
Zonir* Official Date Q
Other Official Date
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:
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;
9 6b) 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 1® Is the use in a LI, HI or PDIP zoning?
/1 If so, give applicant a Certified Engineer's Report (CER) packet.
Can not issue until CER is approved by the County Engineer.
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 /(DIs 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.
Yl N Is the parcel on public water and sewer?
Y fa Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Fern -it #
Y10
Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y 1 (9 Is this. for sales of Fireworks?
If so, obtain a copy of F/R permit. Permit #
Zoning Tech to complete the following:
Y /IN) If so, List-
5rrance:
Y "\ If so, List
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Reviewer to'complete the followWO,
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Square footage of Use: , _:. A
Under Section: ••Z•
Parking formula: JO&Lxr�
Y / N Items to be verified in the field:
/ N If so, List:
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SP's•
Y / � If so, List:
Permitted as t l
Supplementary regulations section:
Required spaces: