HomeMy WebLinkAboutCLE200500249 Action Letter 2017-08-02.ppiication for Zoning Clearance -
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El Zoning
USE ONLY Zoning Clearance = $35 CLE #
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff.
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PARCEL INFORMA
Tax Map and Parpj: _
Parcel
60 Existing Zonin
:PDSC-.,,
Parcel Address: Qtr1 . S ► *C City - '!i 1 C— State V (A Zip rL �g
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_-(include suite_or floo _
APPLICANT INFORMATION
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Who should we call/write concerning this project? :_ L L C
Address I'l ALiHi C+y. City •_ 1% 1 1 e— State �p�`Zq 0
Office Phone: Q ") f '%p0gCell # 6434' )4 W,Y191Fax # M -76AN-mail --�
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PROJECT INFORMATION ,
Business NamelType: 5 41 fe
Previous Business on this site: 00—.41_ .
Proposed use:
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. 1 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 A Printed &VA 1 S i _ -T
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APPROVAL INFORMATION
) Approved as proposed
( } Approved with conditions t4.
Building Official
`� Date a
Zoning Official Date
Other Official Date
---------------..--r----.-.-.-County of Albemarle Department f Community Development -..----- .....................
AM M I
c nhre Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
313:2005 a e
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. 5, �9,�4v
Intake to complete the following:
Y (Di
s the use in a LI, HI or PDIP zoning? �- f
1
If so, give applicant a Certified Engineer's Report (CER) packet.
Can not issue until CER is approved by the County Engineer.
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N Will there be food preparation?`,f���e�i
If so, fax application to Health Department. FAX DATE
Cannot issue until we receive approval from Health Dept. 05
Y iaIs 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?
Y / Will you be putting up anew sign of any kind? 1
Permit # �
If so, obtain proper Sign permit r —s
Y / ill there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y this for sales of Fireworks?
If so, obtain a copy of FIR. permit. Permit #
Zoning Tech to complete the following:
io ions: offers:
If so, List:1 ZN If so, List:
M PrAA Or
c t,ST' `I1 Ata— 4
Igign
S 's•
Hance:
Y i N If so, List Y N If so, List:
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Reviewer io complete the following: l
Square footage of Use: y k Permitted as:
Under Section: v °� �' -2 Supplementary regulations section:
Parking formula: ^ Required spaces:
Y. Items to be verified in the field: