HomeMy WebLinkAboutCLE200500300 Action Letter 2017-08-03OF
application for Zoning Clearance
OFFICE USE ONLY
Zoning Clearance = $35 CLE # 200 5_ 3 0
PLEASE REVIEW ALL 3 SHEETS Check # 7ood Date: 1-!
Receipt # Staff.
PARCEL INFORMATION . 22
Tax Map and Parcel: _ s D1000 -oo- co-jo6op Existing Zoning eVWAV F.WXAj.
Parcel Owner: 0-A k124l0 leapfw?. Milk., I -AZ qw /�. wit lNowAr? k �,�,ty F. 04W
Parcel Address: /720 .5;4�ow_ rtwL City 6X404am0r / 4a State %%X Zip ZZ961
__ (include suite or #lace) ------- 7;k'a
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APPLICANT INFORMATION
,jV
ho should we call/write concerning this project? e, ,fi;4W*, riew6a mes 6W►ttc _l�_ %)w �el
�
Address : Z91S N 4yAwsni .5T City _ �I, U N1WV State Zip ZYW
Office Phone: ( 0) 2"d 3- OS6ar Cell #00-29V ZIdy Fax # 5Ya 2j3' o5(e& E-mail
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PRIMARY CONTAC
Business NamrJType: L'g :Wlailzas 4wafo[tea .40e
Previous Business on this site:
Proposed use: RAOM- Xf AdrL Kam- J;wkSliW S
Circle (if applicable): - / Chideas-. �
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CMUSTMAS TREE SALES (Sheet 1)
*This Clearance will only be valid on the parcel for wh(ch it is approved. If you change, intensify ormove 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
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APPROVAL INFORMATION
[ l Approved as proposed
approved with oonditions
[ ] No physical site inspection has been done for this clearance. Therefore, it is not a determitmflon of compliance with the e
site plan.
[ ] This ite complies with the site plan as of this date. Bacicllow Device and/or
Current Test Data Needed
Building Official r---- Date
Zoning Official Date 2
--�--11 lam.
Other Official ---- Date
--------------------- --- -------�- =-= --
County of Albemarle Departm___.__ent--_--of ---C-om----------unit:-y-----e-v--el----p-----ent--------------------
mDom
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 29b-5832 Fax: (434) 9724126
Applicant to complete the following:
/N
Do you have one of the following?
Tax Map and Parcel Number and or,
Address of use (include unit or floor if appropriate;
M/ 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.
mooning Tech to
Via ons:
YI
If , ist
VT'ce:
Y
the
yrZ8/05 Page 2 of 4
Intake to Complete the following:
Yla
Is use in LI, IH or PDIP zoning? If so, give applicant a Certified
Engines Report (CER) packet.
Y/G
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 /'M
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
/N
on public wafer and sewer?
Y
Wil u be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit #
Y
Wih4iere be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Y nN
Is Wfbr sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
so, L'
rierrer to complete the follawing:
equare footage of Use:
f
`YIN
Permitted as:
Under Section:
Supplementary regulations section:
Parking formula
Required spaces:
YIN
Items to be verified in the field:
Inspector Name & Date. -
Notes
Y28/0 Page 3 of 4
3I28M5 Page 4 of 4
Zonin Clearance Checklist
HAVE the following information to apply for a Zoning Clearance:
A#
rax Map and Parcel or Address with unit number or floor if appropriate.
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 APDrOV21
FIREWORKS:
1. No person shall sell, offer for sale, store, display or discharge any fireworksn any idling s
itation or on any premises where gasoline
minimum ofml00 ft
or other inflammable
e from liquids are stored or dispensed. (Code 1967 10-13.) County Code Son 6-200 and 6-300 and must be a
any gas Section
pumps/Propane distribution tank,
2. The site shall be cleaned and restored to its original condition on or before July I I th. This shall include removal of all structures,
signs, debris, and the like.
3. thirty (30) foot front setback shall be maintai
Z
to Zoning Administrator's approval. ned, Display shall be located so as to avoid traffic congestion. Modifications subject
4. Building permits shall be obtained for all proposed structures and/or lighting.
5. Sign permits shall be obtained for all proposed signage.
CHRISTMAS TREES:
I. 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 must com
the Albemarle County Code. burning be
with the Virginia Statewide Fire Prevention Code and
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. Si its shall be obtained for all vronosed sign—
9/28/05 PAP'P. I of