HomeMy WebLinkAboutCLE200500256 Action Letter 2017-08-03#46. root
Application for Zonin Clearance PIC IferUeg
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OFFICE U ONLY
❑ Zoning Clearance - S35 CLE #
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
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PARCEL INFORMATION n L
Talc Map and Parcel: Existing Zoning tjL,
Parcel Owner:_ .t F.
Parcel Address: ~Z City _r ,� !t �•� State Zip zz
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APPLICANT INFORMATION
Who should we calltwrlte concerning this project?
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Address: C,� / c, r` � � City 14 es tom. kd C State [ , Zip 2,Z-gt/?
Office Phone: ��% - �� Cell # r b-1.510 Fax # S $ei- 4396 E-mail at VJe-, iZst 6 cm eh rt9
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PROJECT INFORMATION
Business Name/Type:
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Previous Business on this site: .SpGrrt� �11 a.'
Proposed use:
Circle (if applicable): Fireworks 1 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, t I will abide by them -
Signature E --sz,z< Printed�CILQ"'- & DA
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APPROVAL INFORMATION
( ) Approved as proposed
kpproved with conditions
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Building Official Date (T [ i
Zoning Official Date _ 130 AQ
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fag: (434) 9724126
3/3/2005 Page 2 of 3
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;
e) 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 16) 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 /6? 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 /6Is 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 N Is the parcel on public water and sewer?
Y /& Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y
Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y HN/ Is this for sales of Fireworks?
ll // If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
Violations:
Y / N If so, List:
Variance:
Y 1 N If so, List
Reviewer to complete the following:
Permit #
Proffers:
Y 1 N If so, List:.
SP's:
Y 1 N If so, List:
Square footage of Use: Permitted as:
Under Section:
Parking formula:
Y / N Items to be verified in the field:
Supplementary regulations section:
Required spaces: