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CLE200500289 Action Letter 2017-08-03
Application for Zoning Clearance OFFICE USE TLM05 Zoning Clearance = S35 CLE # -01 PLEASE REVIEW ALL 3 SHEETS Check # Date: QS s ads — lit) Receipt # .56 YOW Staff.• PARCEL INFORMATION Jc a Jr — // Y �L I j - by - Tax Map and Parcel: CA, 9 A 2 — ©0 - o 2- `i r!? 0 - _- Existing Zoning G Parcel Owner: Parcel Address: e .0, 1 d City 0 scom State VI-t Zip ZZ 3 Z ______ (include suite or floor) -------------------------------------------------------------------- APPLICANT INFORMATION INFORMATION Who should we call/write concerning this project? _Net ( M aLa.0 fy Vl i (in v Address: Z D Irrt a City L k m•`c,!-l-es V I (f a State V Zip 2-2. `i t7 f Office Phone: L_) Cell # 434 -Y'60 -f [Z5 Fax # E-mail -- ---------------------------------------------------------------------------------------------------------------------------------------------- PRIMARY CONTACT h rr n ��}} { BusinessName/Type:mac,,, �C-aca-t-5 0f H�erCCO, �°-roylewa(ITn,_K,snm AMel* &c,V1c.0 f A Previous Business on this site: '-' ayvteSbc ro,V14 zzC(9, J Proposed use: �L! Of �-+'sy-inaS Tyee_ 5 t 1 /ZC�/0 9 T. 12/2.4Las __... Circle (if applicable): Fireworks / istnnas Tree SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet I) *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. if Signature L,2z N—C PrintedNg� j-� ------------------------------------------------------------------------------------------------------------------------------------------------ APPROVAL INFORMATION [ ] A proved as proposed 15�_d Approved with conditions No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing sift plan. [ ] This site comRiies with the site plan as of this date. Building Official Date Zoning Official Date L/15/05 Other Official /� �/�_ry �} F Date ------------------------------- - � & ------Ls.`._.`.------ - - o -Lam.-!'-n---------------- ---- County of Albemarle Departibint of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 9/28/05 Page 2 of 4 Applicant to complete the following: 3 N Do you have one of the following? Tax Map and Parcel Number and or; Address of use (include unit or floor if appropriate; KI N 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. Zoning Tech to rixiolations: N so, List: p . z_c�� -- c Vari ce: If / Ifso, st: the ,• A-LIs s f��CY 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 Y/N 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 Y/N Is on public water and sewer? YIN Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y/N 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 FIR permit. Permit # Proff Y I : If so, ist: SP's• Y/N If so, 1st: 90-9105Page 3of4 Flevidwcr to complete the following; squat. rNtege Qf Use; �i,,..,.�.►. or- crmaad a� Su PPI emcntary regulations aamtian. Parking formula, R qulrcd spies: Y ) Items to be verified in the fldd ; Inspector Namc & date; Notes 3129JOS Page 4 of 4 Zonin,a Clearance Checklist Applicant MUST HAVE the following information to apply for a Zoning Clearance: OCCUPANCY 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. Conditions of Approval FIREWORKS: 1. No person shall sell, offer for sale, store, display or discharge any fireworks in any filling station or on any premises where gasoline or other inflammable liquids are stored or dispensed. (Code 1967 I0-13.) County Code Section 6-200 and 6-300 and must be a minimum of 100 ft from any gas pumps/propane distribution tank. 2. The site shall be cleaned and restored to its original condition on or before July 1 ith. This shall include removal of all structures, signs, debris, and the like. 3. A thirty (30) foot front setback shall be maintained, Display shall be located so as to avoid traffic congestion. Modifications subject to Zoning Administrator's approval. 4. Building permits shall be obtained for all proposed structures and/or lighting. 5. Sign permits shall be obtained for all proposed signage. CMUSTMAS TREES: 1. The outside storage of combustible material or flammable materials shall be located so as not to constitute a hazard and shall not be less than 15 feet from any building on the site. Any open burning must comply with the Virginia Statewide Fire Prevention Code and the Albemarle County Code. 2. The site shall be cleaned and restored to its original condition on or before January 2. This shall include the removal of all structures, signs, debris, and the like. 3. A thirty (30) foot front setback shall be maintained, Display shall be located so as to avoid traffic congestion. Modifications subject to Zoning Administrator's approval. 4. Building permits shall be obtained for all proposed structures and/or lighting. 5. Sign hermits shall be obtained for all hrohosed siffiaze. 9/28/05 Page 1 of 4