HomeMy WebLinkAboutCLE200500288 Action Letter 2017-08-03li at' c ion for Zoning Clearance F
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❑ Zoning Clearance = $35 CLE # Y _ 2S
Check # Date: 5—
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff: Z20�r
PARCEL INFORMATION
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Tax Map and Parcel: J 6 c: p • - O rs— f - 3 Existing Zoning_
Parcel Owner: - CIO ,,,
Parcel Address:_ 16a* 1` . i t 6 R -j - � _ City 0 " State V�CA_ Zip _Z17
-- include suite or floor ---------------- - ---
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APPLICANT INFORMATION
Who should we calllwrite concerning this project? _ Y0. 5 610 Ef 42�1141 G L of Address: gill 6a &i e4 tsae,+City N AA' / KSAS State Gl - Zip z C1 1,09
Office Phone: C2!� _3 qck-- LlQ 6Cell # 7-Z5�1iFax # E-mail OS_6 0 A — AkQ MALC&I-
PROJECT INFORMATION
Business Name/Type:
Previous Business on this site:
Proposed use:? -
Circle (if applicable): Fireworks / tmas Tree
SEE CONDITIONS OF APPROVAL IF CE 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 my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed _L��j'/ 2a/1 t LLA3-#
APPROVAL INFORMATION
( ) Approved as proposed p moved wi conditions
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Building Official Date _ i
Zoning Official Date (11 J SOS
Other Official 4 Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
3/3/2005 Page 2
Applicant MUST HAVE the following infortnation 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;
OK
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 I � 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 /(D 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 / 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.
/ N Is the parcel on public water and sewer?
0/ N Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y / Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y / TIC Is this for sales of Fireworks?
If so, obtain a copy of F/R permit.
Zoning Tech to complete the
Vio s:
Y I N If so, List:
Y If N J If so, List
Reviewer to complete the following:
Permit #
-16-oc
Pro:
Y I(jN If so, List:
Y/0
Y , / If so, List:
Square footage of Use: one Permitted as:
Under Section: Supplementary regulations section:
Parking formula:
Y / I� Items to be verified in the field:
Required spaces: