HomeMy WebLinkAboutCLE200500278 Action Letter 2017-08-032
Application for Zoning Clearance U
OFFICE USE0NL&Y Z�n,5O0o ,.7?
El Zoning Clearance = S35 CLE #
Check # —:� Date: to - m r - 05
PLEASE REVIEW ALL 3 SHEETS Receipt # 5(o?1aDStaff:
PARCEL INFORMATION
Tax Map and Parcel: 0 go -0- 00 "� 3 IG1
Parcel Owner:
Parcel Address: 3
Existing Zoning_ 1—
State1A_ w -"-
(include suite or floor)
APPLICANT INFORMATION
Who should we call/write concerning this project?
Address: �3 _.X)x Lob&921 City & State t� y r Zip 2 29 0,
Office Phone: MD &3io LcVa Cell # Za--63Z %A # E-mail rd 00-
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PROJECT INFORN,1LATION
Business Name/Type: _U0G�4
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 Ciearance 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 my knowledge. I have read the conditions of approval, and 1 understand them, and that I will abide by them.
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Signature Lwka_-ea� Printed iql:ff -_V:(
APPROVAL INFORMATION
( ) Approved as proposed pproved with conditions OCT �Y�S
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Building Official �_,-.� . _ Date t -a-6 S
Zoning Official
Date J o /-2 a to
Other Official Date
....................... -- -- --............... 0''%b1 ..... Y................................................................_
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
2of3
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) 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 /6N Will there be food preparation?
If so, fax application to Health Department. FAX DATE
Can not issue until we receive approval from Health Dept.
Y 1 N 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 / N Is the parcel on public water and sewer?
Y 1 N Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
N Will there be any new construction or renovations? �.qr �
If so, obtain the proper Permit. Permit #
Y /0Is this for sales of Fireworks?
If so, obtain a copy of FIR permit. Permit #
Zoning Tech to complete the following:
Viol ons:
Y 1 If so, List:
Vari ce:
Y 1 9 If so, List
Reviewer to complete the following:
Square footage of Use: -3, �(62
Under Section: Z 7 .2 i ly
Parking formula:
Prof:
Y 1 . If so, List:
SP's
Y / If so, List:
Permitted as:
Supplementary regulations section:
Required spaces:
Y / ® Items to be verified in the field: Z
SO Zoos - `