HomeMy WebLinkAboutCLE200500275 Action Letter 2017-08-03t
\Application for Zoning Clearance:nP
Y"�":"
OFFICE USE ONLY
❑ Zoning Clearance = $35 CLE #
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff. }
PARCEL INFORMATION Tax Map and Parcel: --{ '-�-���[� Existing Zoning 1` b P 1 " �t t
Parcel Owner: 'PAP CL
Parcel
4 (S" V y State VA Zip ?? ~®
__(include suite or floor)
APPLICANT INFORMATION
Who sho4Ld we cal ri oncerning tllig prto�ject?DOS
Address. 100 - . _ 1 (; ?,City C QF State u
p
Office Phone:( Cell # Fax # E-mail
------------------------------------------------------------------------------------------------------------------------------------------------
PROJECT INFORMATION,
x
Business Name/Type. r �.. • = t Gar ,. z ;... ..� _._....._._
Previous Business on this site:
Proposed use: :_
Circle (if applicable): Fireworks / 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 owner's permission to use the space indicated on this application. I also certify that the information provided is
true and accurate to the best of ny knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
a �
Signature i P. Printed
---------------------------------------------------------------------------------------------------------------------------------------------
APPROVAL INFORMATION
( ) Approved as proposed { ) Approved with conditions
Building Official Date (o
Zoning Official r Date �� 0
Other Official Date
.- - - - - County of Albemarle Department of Community Development --
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
3/3/2005 Page 2 of 3
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
a) If using less than the entire structure, note the location within the structure;
b) Dote 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 1 '1 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 lipi Will there be food preparation?
`l/ If so, fax application to Health Department. FAX DATE
Can not issue until we receive approval from Health Dept.
Y ; l 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 )l N Is the parcel on public water and sewer?
Y 1'Ni! Will you be putting up a new sign of any kind?
- If so, obtain proper Sign permit. Permit #
Y 1 N Will there be any new construction or renovations?
If so, obtain the proper Permit. Per # r
Y ?<1 Is this for sales of Fireworks?
If so, obtain a copy of FIR permit. Permit #
Zoning Tech tp complete the following:
Violp
Y �' N J If so, List:
O2LC' — V fjD
Profs:
Y 1 If so, List:
va
Y Iinf so, List Y N If so, List:
- 03
Reviewer to complete the following:
Square footage of User`s
Under Section: 2s Al. Z3 • 1 2
Parking formula: Z�
Permitted as:
A.
Supplementary regulations section:
Required spaces:
Y 6 Items to be verified in the field: f 2~