HomeMy WebLinkAboutCLE200500296 Action Letter 2017-08-03Application for Zoning Clearance
OFFICE US O Y jj
❑ Zoning Clearance = $35 CLE # t0
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
PARCEL INFORMATIO
Tax Map and Parcel: Q& t 4 1 — 00 — �� Existing Zoning_ CC>
Parcel
Parcel Address: � W e_-pP Xt oOEV City CA pL 1, *er t (hate rA Zip ZZ4 O
- include suite or floor -------------------------- ----------._---
APPLICANT INFORMATION
Who should we call/write concerning this project?
Address : 1 A )�� AA o P A v
,b (' A
tate Zip 2Z4o`
Office Phone- ? S " Y9 03cell # Fax # E-mail ZO�ZA(o 3
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PROJECT INFORMATION
Business Name/Type: �-[..+ e-ac.pL7� -Br 0Z t _ Act- )®
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 ownees 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 JFJ "eYL, 14 r Br6�l t
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APPROVAL INFORMATION
( } Approved as proposed proved with conditions
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Building Official Date 1 C r f(40 S
Zoning Official _ _ e Date (1}516 S--
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Other Official Date
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County of Albemarle Department -of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
3/3/2005
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;
Note the square footage of each room or area of use;
d) Note the use of each room or area of use.
[stake to complete the following:
Y 1 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 /1V� 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.
91 N Is the parcel on public water and sewer?
Y / /I Will you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y /0 will there be any new construction or renovations?
If so, obtain the proper Permit. Permit #
Y 1(p Is this for sales of Fireworks?
If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
ViTS:
YIf so, List:
Va e:
Y IIN If so, List
Reviewer to complete the following:
Permit #
Pro s:
Y /U If so, List:
MNIf so, List:
Square footage of Use: 1 Zod' Permitted as:
Under Section: Supplementary regulations section:
Parking formula: ZWIP Required spaces:
Y CID Items to be verified in the field: