HomeMy WebLinkAboutCLE200500268 Action Letter 2017-08-03_ .&pplication for Zoning Clearance r
USA O e
Zoning Clearance = $35 CLE # OFFICE CrL 00.s ?(r
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: % 00 00bo 400go Existing Zoning
Parcel
aV L11CG
Parcel Address: /3f0 /Qi
- " ' "" r _ C.6ty State k/A zip��!r
---------------------------(include suite or floor) -
APPLICANT INFORMATION /]',
Who shouldP406C6107)1j.3
all/ concerning this project? ,.r,J 11 60'
Address:
City CrU4105"A State
Office Phone:L2t Cell # Fat KA, E-mail
PROJECT INFORMATION
Business Name/Type:
Previous Business on this site:
Proposed use:
A G( m"T u
ZIp 221ft
lac 7411,
Circle (if applicable): Fireworks 1 Christmas Tree
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SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FORiRE�W'ORKORCHRI AS TREE SALES (Sheet3)
"'Iris 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 reouired_
I hereby cer(ify that I o or have the owner's permission to use the space indicated on this application. I also certify that the information provided is
true and acc rate to the P
est of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them
Signature t C
Printed I VA GR I LO&D
APP OOV INFORMATION
( ) A ed as proposed
approved with conditions
Building Official Date 1 x j
Zoning Official Date lU%% 7roS
Other Official Date
• R
ty of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Applicant MUST HAVE the following information to apply:
Tax Map and Parcel or Address with unit number or floor if appropriate.
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.
Intaketocomplete the fallowing:
Y 1)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.
Y 15 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 Is the parcel on private well and septic?
V 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 / Will you be putting up a new sign of any kind?
��IJJJ If so, obtain proper Sign permit. Permit #
Y ! Will there be any new construction or renovations?
if so, obtain the proper Permit. Permit #.
fY /t J Is this for sales of Fireworks?
/ If so, obtain a copy of F1R permit.
Zoning Tech to complete the following:
Viol ',ons:
Y 1 f N IIJJ 1 If so, List:
V arse:
Y l If so, List
Reviewer to complete the following:
Permit #
Profit:
If so, List:,
91 N IS -elf so, List: 2
Square footage of Use: Permitted as:
Linder Section: - — =t= Supplementary regulations section:
Parking formula;
�— Required spaces:
Y 1 Items to be verified in the field: