HomeMy WebLinkAboutCLE200500302 Action Letter 2017-08-03COMMUNfTY DEVELOPMENTI Fax 434972412E Sep 29 2005 03;47pm P001 002
.x ;Aication for Zoning Clearance _
OmCF USE on
Zoning Clearance in S,35
check Date: il-Z'I-Zi
PLEASE REVIEW ALL 3 SHEETS Receipt # 'Stab;
PARCEL INFORMATION
Tax Map send Parcel. _(4- - - /� Existing zonia t-.t
Fired Owner. /",`,not �l'll� 19i-� � . /�,�� � � ,°.�.
Parcel Addrm.. ,,;, �t7 r
—city .
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Cl ZX&kA � i'� fate ` fi
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------------_----___-_----finctude spite or floor -:.
....-•----------------2--------
APPLICANT INFORMATION ..._..__...
Who should we cahllwrlte eaneerning this project?
Address- /().z LO p Y City, State ' C 14 Zip
Orrice Pbone: ( ��-4?a23c� Cell # FIX # ~'- ----�— "�
E-uteri
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pR03l�CTiN�'ORM-----------------------ma-f`l�d.- rc�-�------------------------------------.
INFORMATION
.Previous business on thus site: Coln .)dit 1 —
Proposed - use:
U00 f if applicable): Fireworks I Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRIST" TREE SAr ES- (Shy.
Mis Cleamnce w1l! only he valid on the Psrccl for which it is approved, If you change, intensify or move the use to a new location, a new.Zoning .
Clearance will be mQuired. '
i hereby certify that I own or ha owllel+ issiott to use the space indicated on this application'.. I also cert6 that the infonm4on provided is
aw and accurate to the wl I have read the co vA and I understand; them, and that 1 will abide by them,'
Sigaattue Printed
APPROVAL INFORMATION
( ) Approved as proposed ( ) Appmved with cozy Woos
Building Official Dane . r l 0
Zoning official Date !I
Other Offidal Dgte'
__--.--...... _ .- - -- - -- - : - � ---------- ------ --- -.......
County of Albemarle Department oI Community Develop -
men#
COMMUNITY DEYELOPMEND Fax 4349724126 Sep 29 2005 03:47pm P002/002
2005 Pne 2 of 3.
Applioarnt MUST HAVE the following information to apply:
1) Tax Map and Parcel or Addmss with unit ninnber or floor tf a te. � e I�
2) A, Floor Plan - either a sketch or an architectural dca _��C�
a) If us* less than the entire $ttit t=, rut the. fooation withio the stmct�;
b) Note the total square footage of %a use;
c) Note the square footage of each z u m or area of use;
d) Note the use of each room or arcs ofusc.
Intake to complete the following:
Y I N Is the use in a LI, HI or PDIP zonal.
If so, give applicant a Certified Engineer's Report (CER) packrct
Can not issue uuW CER is approved by elk County Engineer.
I Y / N Will there be food preparation? .
j If so, fax application to Health Department. FAX DATE
Can.nor issue until we receive approval from i;:iea#tb Dept
Y I N , Is the parcel on private well and septic?
If so, -fax. application to Health IhPartu=t. FAKDATE
Can not issueuntil we receive approval from Health Dept.
Y - / - N Ii the parcel on public water and seweer9
Y / N WM you be putting up a new sign of any kind?
If so, obtain proper Sign permit. Permit #
Y I N Will there be any new construction or renovations?
If so, obtain the proper Permit. pelrriAt #
Y / N Is this for sales of Fi ewo1w.
If so, obtain a copy of FIR per nt. Permft #
Zoning Tech to complete the following:
� �� _ ter■ ��
.r
AckaHaUCe:
N if so, List 6 22
Revkwer to complete the following:
! N f soa'List:
1 N IfsoY List:
Square footage of Use: _ f� g Pem3imd as,
T
Under Section• _ .. Z . iY. Supplementary regulations section:
Part foruoatla ��QCdi. =:2eo Required spaces:
Y CV Itow to be verified in the field:
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