HomeMy WebLinkAboutCLE200500246 Action Letter 2017-08-02Application for Zoning ClearanceCoc. o tr ,,-,;
OFFICE USE ONLY �� 0 �) t
❑ Zoning Clearance - $35 CLE # LI CD
Check # i6 Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
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PARCEL INFORMATION
Tax Map and Parcel: % % 0 0-0 v — 00 -- t .3 Existing Zoning
Parcel Owner- n C / o
Parcel Address: 1660 t-1 no D tep. City G�li-c.� State il,=t Zip
---------------------------- spite or floor2__ ---- - --_
APPLICANT INFORMATION
Who should we call/write concerning this project? `j a 5 ap ffGff t rfi,1
Address:--- Jd 111 Coh � &-p 19 uif * At/oCity_I_''1AWA15'RS State L��-- Zip a�
Office Phone: L2221 3-5 — iU3 L Cell # Fax # �6L 3 - Y-d E-mail t% SG P11 141 9 /iS IyC.'m
PROJECT INFORMATION _
Business Name/Type: _ _ N-re R S t
Previous Business on this site: rpr S W t o .210 t, R l" P II
Proposed use: U t' tr -+ C
Circle (if applicable): Fireworks I 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
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 Printed 4%' - S E P H J4S n ELL fi S
PROVAL INFORMATION
Approved as proposed
with conditions
Building Official Date `t j z 5 IQ S-
Zoning Official Date f�zc'/es
Other Official Date
o my of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
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) :`Tote 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 Its 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 1 N Will there be food preparation?
Yf
If so, fax application to Health Department. FAX DATE
Can not issue until we receive approval from Health Dept.
Y I V 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.
/ N Is the parcel on public water and sewer?
1\
TAT Will you be putting up a new sign of any kind? q
If so, obtain Si gn permit. Permit #
proper
Y4Vii1
there be any new construction or renovations?
If so, obtain the proper Permit.
Y eIs this for sales of Fireworks?
If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
Vi ors:
Y N If so, List:
Var' nce:
Y If so, List
Reviewer to complete the following:
Square footage of Use:
Permit #
Permit #
Pro rs:
Y /kn If so, List:
SP,
Y t If so, List:
Permitted as:
Under Section: Supplementary regulations section:
Parking formula'._ aa Required spaces:
Y N tems to be verified in the field: