HomeMy WebLinkAboutCLE200500262 Action Letter 2017-08-03COMMUNITY DEVELOPMENTI Fax 4349724126
Sep 14 2005 12:23pm P001/002
�.��lication for ,honing Clearance
Zoning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS
OFFICE USE ONLY
CLE # a
Check # Data:
Receipt # _ Stall':
COl1 el asu'
PARCEL INFORMATION g �D J�
Tax Map and Parcel: - "� �° E:dstin Zonin
ParM
Parcel
APPLICANT INFORMATION
Who should we call/write concerning this project?
�, 1
Address j ODC] S �(3L �� to -City State ��, __ Zip _ �_IT]
Ofifee Phone: () 760 G�Sgo-Cen '# L/*517-737S- Fax #-7&? Zt?-3158E-mail i'�yoo ►/q OG1�
Ate: c d.A a--.............................------------—•----=------------------------------------ ---
PROJECT INFORMATION
Business Namc/Type:
64
Previous Business on this site: 0104
Circlelfi applicable): Fireworks / CbristmasTree
SEE CONDITIONS OF APPROVAL IF TIM CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet3)
w1his Clearance will only be valid on the parcel fqr which it is approved. if you chant, irawsify or move the use to a new location, a new Zoning
Clearance will be requitcd.
I hercby 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 accura t to the best of my knowled have read the conditions of approval, and I undcrstand fimn, and that I will abide by them.
Printed
......................................... ........ ...............
'.�._
APPROVAL INFORMATION
( ) Approved as proposed
fC—J�#pproved with conditions
Building Ofl dal Date �- `k
Zoning offiew Date 1,6
Other Official Date
aL
County of Albemarle Departme Community Development Q 2005
COMMUNITY OEVELOPMENTI Fax 434972412E
Sep 14 2005 12,23pm P002/002
3/312DOI P 2 of 3
Applicant MUSS' HAVE the following iiafomation to apply:
l) Tax Map and Parcel or Address with unit number or floor if appropriate- a4
2) A Floor Plan - either a sketch or an whitecturai drawing (r, � [�
a) Ifu$4 less than the entire stiumn-c, note the location within the stricture;
b) Nate the total s Uarc footage of the use-- 305 LZ9' = BWV- m
5,�� 1�DzV tsar i��i(
�c'r�1ra P.l' Z7 30,
-A_r
c) None the square footage of each room or area of use; i MCO& �- () LA 4AC
d) Note the use of each minor area of
Intake to complete the following, MIA �% R O 1L�
Y / N Is the use in a LI, HI or PDIP zon iag?
If so, give applicant a Certified 1~sa&c&s Report (GAR) packet.
Can not issue until CER is approved by the County Engineer.
Y / N Will tbcre be food preparation?
If so, fax application to Health Department, FAX DATE
Can not issue until we receive approval from Health Dept
Y / N is the parcel on private well and septic?
If so, fax application to Health Departn>ent FAX RATE
Can not issue until we receive approval from Health DepL
Y / N Is the parcel on public water and sewm'
Y 1 N Will you be putting up a new sign of any kind?
ifso, obtain proper Sign permit. permit #
Y / N Will there be any new constructive of renovations?
if so, obtain the proper Permit. Permit €/� --
Y / N is this for sales of Fireworks?
If so, obtain a copy of F/R permit. Permit #
Zoning Tech to complete the fallowing,
Vlalrnll�
— - coffers.
Y / so, List: ! N If so, Last:
WA
o rooa
00-02
arianee.
1 J If so, List
r
to complete the following:
SP's
V If so, List.
Square footage of Use: „ZQd w&aT.Z;F- 32L5 01" Permitted as:
Under Section: Supplementary regulations section:
Parking fornuula:
Y / N items to be verified in the field:
Required spaces: