HomeMy WebLinkAboutCLE200500253 Action Letter 2017-08-03APPROVAL INFORMATION
( ) Approved as proposed
Application for Zoning Clearance
OFFICE USE ONLY 0y�/�
oning Clearance = S35 CLE # �E =5-
�� TT Check # Date:
PLEASE REVIEW ALL 3 SHEETS Re e' t # cRra: Erg Staff:
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PARCEL INFORMATION Q 7gc)D — l) D — DO" I)L-9C )
Tax Map and Parcel: —OP Existing Zoning
Parcel
Parcel Address: 2 3 d tll rrp v`5 City State Zap L
----(inclu a suite or floor)- ---------------------- -- ---- ------------- ---
APPLICANT INFORMATION
Who should we callfwrite concerning this pr 'ect?94
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Address : City l/ 1 State Zip z (V1
Office Phone: Cell #nLli t4Fax # b E-mail •
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PROJECT INFO TIO `
Business Name/Type: _ � �� i � � h 1 A +
Previous Business on this site: f7")-% 1CP- n I
Proposed use:
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Circle (if applicable): Fireworks 1 Christmas Tree /Y /Vt! a !A l 10e e m `/ btu t
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (She )
'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 o%yn 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 1 will abide by them.
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Signature Printed
roved
Building Official Date to
Zoning Official Date 1
Other Official Date
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County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434)
t 9
972-4126
3/3/2005 Page 2 of 3
Applicant MUST HAVE the following information to apply:
'fax Map and Parcel or Address with unit number or floor if appropriate.
2� A Floor Plan - either a sketch or an architectural drawing
`1 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:
! N Is the use in a LI, HI or PDIP zoning?
If so, give applicant a Certified Engineer's Report (CER) packet. ��, �\P_"
QnCan not issue until CER is approved by the County Engineer. J
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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 / I3 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?
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Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
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N Will there be any new construction or renovations? (QT&C-
be ��� � ��
If so, obtain the proper Permui1 1iit. Permit #i
Y / N Is this for sales of Fireworks?
If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
Via s:
Y IIf so, List:
Var e:
Y 1 N If so, List
Permit #
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V1 F04 17fiS MP b p
Prof s:
Y I If so, List:
SPJ! /
Y / /w] If so, List:
Reviewer to coruplete the following:
Square footage of Use: Permitted as: r,
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Under Section: Z M Supplementary regulations section:
Parking formula.'- Required spaces: r 3
Y / N Items to be verified in the field: