HomeMy WebLinkAboutCLE200500250 Action Letter 2017-08-02Application for Zoning Clearance -�
OFFICE US ONLY
❑ Zoning Clearance — $35 CLE #
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff: _ Ism
PARCEL INFORMATION
Tax Map and Parcel: _ " �,� �Q —QQZQ� ExistingZoning —
Parcel Owner: 104 ks CIO Ao&&1A1C
Parcel Address: City ��///,State �/�� Vp _�M511
.--__---- --___ r
-- ------ -- include iuite or floo-�-5------------- --------------------------------------------------------------------------------- -----
APPLICANT INFORMATION
Who should we call/write concerning this project?
Address - '
City MAWERTAIWX State kM01A0!lt* —Zip
Office Pbone: WWJ5117 Cell # Fax # IW#J& E-mail :Ai
PROJECT INFO]
Business Name/Type: (! IV P'
Previous Business on this site:
Proposed use: ," z 6p _—
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.
Signs Printed
APPROVAL INFORMATION
Building Officialt Date as —
Zoning Official Date
Other Official Date
---
County of Albemarle Department of Community Development -
QO7 UeYntiraRnsarl VA 97�A9 �T..}..n• l��w� 7r1E �. :...:�. fl...; ,a..�
� 1
2of3
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.
Intake to complete the following:
Y ! N Is the use in a LI, HI or PDIP zoning?
j
If so, give applicant a Certified`�4ng4#eerps ft—brt�-
Can not issue until CER is approved by the County Engmeer. 'r .
• SY Ys
• ,t "4-M'�`S��s+iz �.w Y�` se .�,, s er•4x • rw - 1
1 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 1 6) Is. the parcel on private well and septic?
, .If so, fax applica#igq to TAealth Departrr{ent. X 1 � TT�, • „ z ,4 , r •
""Cannot issue until`riVt�edeiv� apQrovA frbnl ei i!�t:
j Y l91s thea'rel'o p 'lic it and sewer?
1 N Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
. S * o, �.• '.irr•.. has "* l�.'�•: i rt;M.�. 4 v � 5a a. !� �'
Y I Will there be any new construction or renovations
if so, obtain the proper Permit. Permits #_ _ . ' -.,,� •;� �•' t
Y 1 lv' ' ass foi'��II'rs'pf Fi*works Y 10+t
If so, obtain a copy of F1R permit. Permit
Zoning Tech to complete the following:
o� If so, List:
riance:
Y I N If so, List
2
Pro:
Y N If so, List:
SPAS
Y /() If so, List:
Reviewer to complete the following:
Square footage of Use: permitted as:
Under Section: Supplementary regulations section:
Parking formula: Required spaces:
Y 1 N Items to be verified in the field:
a t �� '.