HomeMy WebLinkAboutCLE200500248 Action Letter 2017-08-02Application for Zoning
❑ Zoning Clearan = S35
PLEASE REVIEW ALL 3 SHEETS
PARCEL INFORMATION
Tax Map
Parcel
Parcel
i
- include suite or floor
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APPLICANT INFORMATION i
Who should we cail/write concerning this project? '�.
Clearance
11
OFFICE USE ON Y
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CLE #
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Check #
Date.
Receipt #,ctCCG0 I
Staff:
4 -96-wc
Existing Zoning
State Zip
Address : WO A { + �r.i'YarlC,_ Eia .-_-- ••— CityChT11`miCR ii= I V— (� State �- Zip.)XQ I
Office Phone: [D1 C4 -19 ` -1300 Cell # Fax 4 74-14 E-mail L enml f on O � ffix4hi i i ii
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PROJECT INFORMATION Business Name/Type: dS uaa&i+cc ac rinf. dE cYA Lar S 0 LLB 41
j L-Y.
Previous Business on this site: IL3 ��_ • -
Proposed use: �� L�T, k) j.2 M 1"J [ f,
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 anew location, anew Zoning
Clearance will be required.
1 hereby certify that I own or have the owner's permisTreade
he space indicated on this application. I also certify that the information provided is
true and accurate to cst of my knowl ge. I haveditions of approval, and I understand them, and that I will abide by them.
Signature Printed
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APPROVAL INFORMATION ;, /
(X Approved as proposed (� Approved th conditions
n t /r e
Building Official Date o
Zoning Official Date
Other Official Date
County of AZ emar a Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
? of 3
Applicant MUST HAVE the following information to apply:
`--I) 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 / NW Is 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 /& 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 /O 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.
I A' Is the parcel on public water and sewer?
Y `V Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit # r LP f k- aATF,,,
Y / N Will there be any new construction or renovations? ryry
If so, obtain the proper Permit. Permit #TAM O+
Y IG Is this for sales of Fireworks?
If so, obtain a copy of FIR permit. Permit #
Zoning Tech to complete the following:
Vi;rll
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ffers:
Y so, List: N If so, List:
f L Nt
arlance:
Y 1 N If so, List
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Reviewer to complete the following:
Square footage of Use: 2-DO 5T::--
Under Section: cs'oZ• a - 2•'L L-ayl-
Parking formula:
A5g '
WA per ZED IF tJe j-�
YIN Items to be verified in the field: QRS &
moll"" �r
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Els,
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Supplementary regulations section:
Required spaces: U's