HomeMy WebLinkAboutCLE200500299 Action Letter 2017-08-03Application Clearance
PLEASE REVIM ALL 3 SHEETS gap
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PARCEL ENFORMATION
Tax Map and Patel- F .•
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State VA . % Z
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Circle (if applicable): Fireworks / Chtisbnas Tree
SEE CONDMONS OF APPROVAL 1F THIS CMEAftANCIE IS FOR FWWORKOR CEMMIAS TREE SALES (Sheet 1)
*This woe will only be valid on the parcel for which it is appmvc& ffym change. inbcasiryarnmve tie meta a new laatiomy anew 70Eft
Cleatmm will be nquire&
1 hereby certify that I own or have the ownees permission to use the space indicated on this application, [ also certify tbw the mfom im pmvi&Ais
tree and accmmc to the bc#pfW know vre read the coaMom afappravaL and I undemmd them, and tbad I will abide by them
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APPROVAL INFORMAIION-----------------------------------------------------------------------------------------------------
i I Approved aspropowd braved with candidow
(] lisek$ow device and/braffreatteAdala needed for this site Cam ACSA 97745 i 1, x1I .ancmkwD
�[ } No physical site msp n has bees done for this cicamanoe. Therefore, it is not a
silo plM. fbnraet ACS eede�
[ ] Mw site comph= with dw sirc lan as this date. + A 977-451
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BuUdhgOWKM rr Date
O"'Ot� ar�Of ial ate
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County of Al1mxrte Department of Community Deveopm ut
401 Mcladre Read Charkd YAl 2Z *2 Yoke: (434) 29&5932 Fax: (434) 972-4126 10114MS Page 2 of
Intake to complete the following:
Applicant to complete the following:
YIN
Do you have one of the following?
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
Y/N
Do 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.
%ning Tech to
Violations:
Y/N
If so, List:
Variance:
Y/N
If so, List:
the
YIN
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
YIN
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 anew 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 F/R permit.
Permit #
Proffers:
YIN
If so, List:
SP's:
YIN
If so, List:
10/14/05 Page 3 of
Reviewer to complete the follovwio
Square footage of Use: — S 7a
Permitted as: m
Under Section: Z.Oqrm&1
Supplementary regulations section:
Paddng formula: A�S�e W r� w�- 0 �.✓�
Required spaces: 5ASUIS, oh
Y/
1 to be vezified in the field:
Inspector Name & Date:
Notes
Paae 4 of 4