HomeMy WebLinkAboutCLE200500274 Action Letter 2017-08-03Application for Zoning Clearance
Yrraar�r
OFFICE USE ONLY
❑ Zoning Clearance = $35 CLE # ' S �
Check # Date:'
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
t4
PARCEL INFORMATIO _ h
Tax Map and Parcel: U JM —07 - 0 D d 69'El Existing Zoning
Parcel
Parcel Address: "3 �� ��_�� ��'�it �� r l�State V ZipC.iJ► i 1
-{include suite or floo-
APPLICANT INFORMATION
Who should we call//wri"te concerning this project?
Address: \ rGy 5 City �' t
Office Phone: L_)" 91 S L Cell It Fax #
E-mail
PROJECT INFORMATION,, `
Business Name/Type: � �0— PL Tz— _
Previous Business on this site:,w:
Proposed use- - t !;` Li: a
/ a ].-=D /d
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 ownees 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.
LSignature ; I c�l . _ .. _ Printed
•------------------------------------------------------------------------------------------------------------------------------------------------
APPROVAL INFORMATION
{ ) Approved as proposed ,P5�bkpptroved with conditions
r a.. 'AL wu/ - Hwy-- -
V ill
Building Official Date to 1-4-41 r
Zoning Official Date /elaw 1„s
Other Official Date
County of Albemarle Department of o`mr munity Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
3/3/2005 Pe . _
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
DIta) 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 rK),Is the use in a LI, Hl or PDIP zoning?
t�~,�rr11 If so, give applicant a Certified Engineer's Report (CER) packet.
Can not issue until CER is approved by the County Engineer.
Y 1(!�
ill there be food preparation?
f 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?
If so, fax application to Health Department. FAX DATE
Can not issue until we receive approval from Health Dept.
Vi N Is the parcel on public water and sewer?
Y / IvT Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y I(N Will there be any new construction or renovations?
L If so, obtain the proper Permit. Permit #_
Y 1 L.� is this for sales of Fireworks?
���,, If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
Viol pns:
Y /(5 If so, List:
variance:
Y 1(N') If so, List
Reviewer to complete the following:
Permit #
Prot,s:
Y _,j`��� If so, List:
SPI .
Y /(N) If so, List:
Square footage of Use: cLA Permitted as-.�
Under Section: a;..ongarm Supplementary regulations section:
Parking formula:
Y 11r2 Items to be verified in the field:
Required spaces: