HomeMy WebLinkAboutCLE200500292 Action Letter 2017-08-03Application for Zoning
❑ Zoning Clearance = S35
PLEASE REVIEW ALL 3 SHEETS
Clearance
OFFICE USE ONLY
1 �
CLE # %, 4rD � a4
Check # Date: 11 L q/O 5
Receipt # Staff.__ 121,jr4
PARCEL INFORMATION
Tax Map and Parcel: Existing Zoning���
Parcel Owner:
Parcel Address:SU l_ _ �� 5:1) k wt;ne R k- City 6 fr&LA@tate _ Y n - _ _ Zip a9,9 r I
Include suite or floor - -- ---- - - ------ ----- - ---
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APPLICANT INFORMATION
Who should we call/write concerning this project?
Address :_ I r1 L L C g r;s r g City u C IBC E ova Date A _. Zip (�
Office Phone: Cell #419 -217 IL4t' Fax # l?q4YS'A- (6 E-mall 1 k -
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PROJECT INFORMATION
Business Name/Type: =- NE c
Previous Business on this site: �C'_ A A D Ps c e
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 my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature !�l� --yr s �� Printed R1—4 Q Z 1, O
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APPROVAL INFORMATION
( ) Approved as proposed
pproved with conditions
Building Official Date f. (-2S
Zoning Official Date_!//�s,,��
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"? of s
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 / 0 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 /(0 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.
Y / N Is the parcel on public water and sewer?
/N
Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y 1 Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y ! ® Is this for sales of Fireworks?
If so, obtain a copy of F/R permit.
Zoning Tech to complete the following:
Reviewer to complete the following:
Permit #
z —(- U
Square footage of Use: his W, # Permitted as: relZ& c OV-Od
Under Section: Z if - —4 . I _ Supplementary regulations section:
Parking formula: 12g=1ao¢e. g0� , Required spaces: 13
Y / N Items to be verified in the field: