HomeMy WebLinkAboutCLE200500258 Action Letter 2017-08-03Application for Zoning Clearance, .l`r
OFFICE USE ON L Y
ER- ring Clearance = $35 CLE # CC O7 40 5'
Check # Date; —Z : 5
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
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PARCEL INFORMATION Y l-e-&e Coa W LA--
Tax Map and Parcel: I a3 00 60 pm___ Existing Zoning_
Parcel
Parcel Address: 36SJ t0 dui? I h Oil TYBCity, G1 e / D 4SLkQ0e V 6L Zip 2 Z
(include suite or-tloor)-------------------------------------------------------------
APPLICANT INFORMATION � )) j} �,
Who should we caWwrite concerning this project? r r f7 tit
Address : / OS'A SeM1 n uk TY• City C 1Gi )•1p tt(�5.Vi� State
Office Phon : ( 21�-65.� Cel # 2 _4-0 Fax # 9 - �6� E-mail
PROJECT INFORMATION
Business Name/Type: ' AA W J K' W 0
Previous Business on this site: Q y
Proposed use: kestoL aYaw
Zip 22 -/
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 owners 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
Signatur �''✓` 9 Printed
APPROVAL INFORMATION
( ) Approved as proposed ( ) Approved with conditions
Building Official -�'? r I - Date . r
Zoning Official ate
Other Official Date
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Conof Albemarle De artment of Comm nl Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
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 / NO 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.
CY?N Will there be food preparation? Q 7 a (,oaa 1
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If so, fax application to Health Department. FAX DATE A g1D
Can not issue until we receive approval from Health Dept.
Y 1 Q 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?
Y Yfq) Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y / N0 Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y % *,\ Is this for sales of Fireworks?
{� If so, obtain a copy of F/R permit. Permit #
Zoning Tech to complete the following:
vio ns:
Y N If so, List: `+ �t
ALL. A�sa� a g 0.)b �2� N �
Y y N If so, List:
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Yams: 's:
Y U If so, List Y N If so, List:
Reviewer to complete the following:
Square footage of Use: IRS"Permitted as:
Under Section: Zt : -c. .j 17t' TT" '' ,':".)1\ t"" nr) Supplementary regulations section:
Parking formula: t.66n* Required spaces:
Y / N Items to be verified in the field: