HomeMy WebLinkAboutCLE200500269 Action Letter 2017-08-03lication for . _�� o Zoning Clearance
OFFICE USE ONLY
[B'<ning Clearance = $35 CLE # CC.�
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
PARCEL INFORMATION / p-
Tax Map and Parcel: Existing Zoning
Parcel Owner:
Parcel Address: City State Zip
__-__(include suite or floor__ --- _-_.___---
APPLICANT INFORMATION el�-'
1.
Who should we call/write concerning this project? �J(VA (14 "4&
Address • POPAV l g W City 1 V yrj" State _
Office Phone: OI% 09 _ Cell # Fa4 #%-7- M6 E-mail
Zip —=-/
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PROJECT INFORMATION /� ( C
Business Nameflype: {�'-
C.?> zisi� ;2
Previous Business on this site:
Proposed use: u�,� �1�ldlJsf, -f4w ?!CLE.
3 r -Itg_ X Lomas
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREW RK OR CHRIS AS 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 - e required.
I hereby c ify th own or have the owners permission to use the space indicated on this application. 1 also certify that the information provided is
true and acc to to a best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature i V s~r Printed v
APPROV FORMATION
{ ) Approve as proposed k1<)Wproved with conditions
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Building Official Date
Zoning Official Date _ 14
Other Official Date
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County of Albemarle Depaent of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
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Applicant MUST HAVE the following information to apply:
1,) 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;
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 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;ION Will there be food preparation?
If so, fax application to Health Department. FAX DATE
Can not issue until we receive approval from Health Dept.
l
Y , 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.
Y /0 Is the parcel on public water and sewer?
Y Il DI 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 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 4Z If so, List:
Yriance:
I N If so, List r a�
Reviewer to complete the following:
Square footage of Use:
Under Section:
Parking formula;
Y /W Items to be verified in the field:
Y Y N If so, List: D�3
2
A•- �99f� r00�!
SP's•
Y 1 N; If so, List:
Permitted as:
Supplementary regulations section:
Required spaces: �.tl