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HomeMy WebLinkAboutCLE200500273 Action Letter 2017-08-037W'L6 A Application for Zoning Clearance � Zoning Clearance = $35 PLEASE REVIEW ALL 4 SHEETS PARCEL INFORMATION OFFICE LTSE ONLY CLE # L1YYl'S Check # lAn44 Date: • I Receipt# .5&LQZJ Staff- 15AAL 10—a-1-occl Tax Map and Parcel: ___ 10 - 1 2. 0% � Existing Zoning_ k Parcel Owner: ST. Am i. S Q* C- Sk 1 C CoN L Parcel Address: 77 81 QO[ W FISM GrA P rU , City GR C-EU b5oatb State V 14 i Zip Z Z. ..............(include suite or floor)• ••-------....._.._ .------•-•---....••- APPLICANT INFORMATION r Who should we call/write concerning this project? Address: %& G. . M s ayc in ST . _ City 4� 9PUA RU R& State — Y jk Zip 0127 D Office Phone: U Cell # Fax #54/•434.74gE-mail 15Rs00%t&We 1k'&qV%1e f(V • C&INk - --------, - ---- ------------- „ --------------------------------------------••----,------------------------------,------------------ PRO.IECT iNFORMATIO Business Name/Type: 6T. 1 C- M L k s D "A OV�QyLC-AW&C 1 k Previous Business on this site: Xmk%... kM'l©.3a- Proposed use: _ C A V 111:C Ir4 5 P 2004 -coo Circle (if applicable): Fireworks / Christmas Tree SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1) *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 st have owner's permission use the space indicated on this application. I also certify that the information provided is true and accurate to of owledge. have the.,conditions of approval, and I understand them, and that I will abide by them. Signature Printed Rf. V . R m C •............. ........... ..................- PROVAL INFORMATION Approved as proposed Approved with conditions Pe-e!� 5-P 0 7 ` 3 2-- [ j No physical site inspection has been done for this clearance. site plan. This sit complies with the site plan as of this date. Therefore, it is not a determination of compliance with the existing Building Official / J'JAJ-'-� - Date S a ro Zoning Official /[.fk !t-C�Q_ Date Other Official Date ._ r ounty of Albemarle ep tment of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 C y.1, t 13 p S -t• /V i' c,A o f wa. O i- f h o d o x • 4/2$/05 Page 2 of 4 1Z.G 2-1 $ 3 5 Applicant to complete the following: 'PN o �o you have one of the following? Tax Map and Parcel Number and or; Address of use (include unit or floor if appropriate; N o you have a Floor Plan (sketch or an architectural drawing) that includes the following, and if so please provide it with the application? The total square footage of the use and/or; The square footage of each room or area of use; Use of each room or area If using less than the entire structure, note the location within the structure. coning Tech to Vio ons: Y If sN st: Y/j If so, the Y If Intake to complete the following: Y/N Is use in LI, HI or PDIP zoning? If so, give applicant a Certified Engineer's Report (CER) packet. Y/N Will there be food preparation? If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE YIN Is parcel on private well and septic? If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE YIN Is on public water and sewer? Y/N Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # YIN Will there be any new construction or 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 # YJ / N f so" ist: 9/28/05 Page 3 of 4 Reviewer to campfete the fallowing: 5gmwe Footage of I ;,e- 220 YIN Permitted as: Under Section: SP Z,Co,( Supplementary regulations section: Parking formula: I'IC61 y_ „`- q Required spaces: YIN Items to be verified in the field: Inspector Name & Date: Notes W'228!0 Pogc4 or