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HomeMy WebLinkAboutCLE200500272 Action Letter 2017-08-03(:OMMUNI I DEVELOPMENTI Fax 4349724128 Oct 11 2005 10.13am POQ4 00S , Ppficafion for Zoning Clearance aFFICE us ONLY 19402ing Clearance - WS CLE # PLEASE BEV EW ALL 3 SHEETS Cbeelk # Date. Receipt � Staff. -PARCEL, INFORMATION Tan IVisp and Paree><: eck Ce 3 Existing Zouing P D M C. Parcel OwAer: TOW ;1 Cenkr L LG ParmlAddress: A05 Conive .Pi'. 5k 'b-aL Ctity arIi1 sojle State Zip ,�tglj ........ nclgde suite or floor AFFUICANTINFORMATION ---------------------------------------------------------------------------------_j__-.-------- Who should we call write concerning #his project? MA0,101- AddressQx 4$ City M a139 Office Phone: (590 93.L/Q_0 Ceu # 5 0-44�- Y&) Fax # -937 _gIoz E-mail bkair.0 1►"xtU t•; �, t,ts ___- _.--------------------------- FMARY ------------------- Business Namen)pe. We ---------------a-------------- --------- ----- Previous Rusinesa on this site: _JQ pop Vrnposeduse:_ garU(- 5VVD Circle (if applicable): Fjmworks / Ch stmw Thee SEP- CONI)MONS OF APPROVAL IF THE CLEAItANcE Is FOR HUWORK OR CMUSTMAS TRXF gAU(3ksa t 1) leats[t q�ly -bc valid on the parcel fox wlziah it is t+ppra�d. If you change, intensa ormave a use 10 a new location, a n zoning clemik1w will be r I hereby certify that I own or have t#e owner's pennisgon to use'tho space indicated on this ap01cw1QJU- I also M&Y thRt the, information p uyided is true amd accurate to the hest of my kniowkdgC I have read the coadidow of approval, and I undetxtaod t$ mup and that I will abide by them. htte Printed ................ ---------------------------- PROVAL INFORMATION ------------------------------- I Approved as proposed I I Approved with condi[tla us I I No p,6tysical site inspection has been dote for This clearaacc. 'Therefore, it is not a detenmbiation of compliance wit the e g Sites phi- [ I This site complies with the site plan as of this date. Building OfineW Date Zoning ofmaj Date flitter dal Date --------------------------------------- ----------------- ------------------------------------------------------------ County of Albemarle Department of Community velopment - 401 Mclntire Road Charlottenillip, VA 22902 Voice: (4.34) 296_SW2 Fax. (434) 971-4126 CkJINAt1141I DEV LOPUE 11 Fax 4349124126 Oci 11 206 !6;!4am ruU6/_y6S .Applicant 'to complete the following: ?I')1 N Do you have one ofthe following? Tax Map and Parcel, dumber and or; Address ofuse (include urAt or flour if appropriate; VyN ou have a Floor Plm (sketch or as arrchitec6ural drawing] that includes the following, aad if so please provWe it with fire application? The total square footage of the use andfor; The square footage of each, room or area of use; Use of each MOM Or area If using less than the entire structure, note the location within floe stnuctum- %Bing TMh to complete the Viola Y! If so, Lst_ a aace: N V 9_ -0 2.40q —to 1 _ Va•,ITcts- OC-1 — Intake to complete the 14HOWing: YIN Is us . LI, HI or PDIP zoning? Ei in -ces Report (CIER) packet, YII If so, give applicant a Certified Will tltm be food prepatatiau? If so, give applicant a Health Dept cnt forum. ZcrRfmg rewew can not began until we receive approval from Healthh Dept. FAX DATE Y I( Is parcel on private well and septic? If so, give applicant a Health Department form. Zoning revisor can not begirt until we receive approval fraud Health Vq4' FAX DATE —_-. ---. YIN Is ou public water and sewer? (�)I N Will you be putting up a new sip of any kind? if so, obtain proper Sign Permit, Permit ## ©/N WM there be any new construction or renovations? If so, obtain the upper Imtnit; Y I (� Is this for sales of Fk worb? If so, obtain a copy of FAA permit pertnfd # yjl N s% List: 7r�- 1196. b2S' IN 0�t 11 2DOS 10;14anT k RcTi,+vr to c*mplrtr The founm6mg -�VfN Permitted as: Under Sec on. 5 A 22 • 2 } �b 71 Supplementary reguwvw section- Pa�icing forntatla: Ltd spates: � Q Y J [%'9 Rmw to be verified in the ,field: w�- Z�- Insper Name A Vatr; Now w