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HomeMy WebLinkAboutCLE200500265 Action Letter 2017-08-03V Apl. ication for Zoning Clearance- = OFFICE USE O Y Zoning Clearance = $35 CLE # PLEASE REVIEW ALL 3 SHEETS ReceiptCheck Date: Staff: PARCEL INFORMATION 700 Tax Map and Parcel: _ Existing Zonin �= Parcel Owner.• . Vitt). wl -4- Parcel Address:_ (-- -- City � V )q include suite -or floor State Zip --------------------------------------------�-------~--------------------------------------- --------------------------------------- APPLICANT INFORMATION Who should pwe call/write concerning this project? l Address • T SZQ City c State v • zip Office Phone: (93� t5 Cell # 24 Fax # E-mail --------------------- - ------------ PROJECT INFORMATION Business Name/Type: r� Previous Business on this site: yy,p Proposed use: _ 0 -5eaA_ Circle (if applicable): Fireworks I 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. r Signature �ff Printed---------------------------- R• %�► �S f� APPROVAL INFORMATION ( ) Approved as proposed 4`0 Approved with conditions — -z. • K Building Official Date — IQ - Zoning Official Date 6/s�o Other Official Date County of Albemarle De a ________________'-------------- p rtment of Community Development -------""------ 401 Mcintire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (4341972-4176 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. [ntake to complete the following: Y i N 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. N 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 0 Is the parcel on private well and septic? end FAX DATE If so, fax application to Health Dep Can not issue until we receive approval from Health Dept. D/ N is the parcel on public water and sewer? N 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? ram{ �7q If so, obtain the proper Permit. Permit # I v y I EIs this for sales of Fireworks? If so, obtain a copy of F/R permit. Permit Zoning Tech to complete the following: Proffer Violations: � y / �/ If so, List:. y 1N If so, List: I N If so, List Vh a6 Reviewer to complete the following: 96 Square footage of Use: � Under Section:-- 1 N if so, List � I sP Permitted as: . Supplementary regulations section: Parking formula. w Gm Required spaces: 33 y Items to be verified is the field: