HomeMy WebLinkAboutCLE200500303 Action Letter 2017-08-03Application for Zoning Clearance M Ay�
OFFICE USE QNL �y
Zoning Clearance = $35 CLE # C. 6 ate', ✓
PLEASE REVIEW ALL 3 SHEETS Check # / l00Date: Q
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: 0 ?) JOO -OD 04 300 Existing Zonf - rio-a'
Parcel Owner:��i(,'-rja t.l ueno—/ - _
Parcel Address: J0 I C.40f� 0-0- qz City CAkA4-t 0-1 (t ,�3UC ate _ A Zip �o q1
(include suite_or floor)
APPLICANT INFORMATION ------- - - --- - - ---
Who should we call/write concerning thisproject? LJ ( 1. L i r4-✓vl V'1 C-14G -C 1 4)' 1
Address: 0 L-;] City C±2 ^_"State 16/4 zip�aq o3
Office Phone: tj!�b Ct ® (e . S'76? Cell 0't. 34. Fax # E-mail Wr►K ,ke_e_P n ► �e P_
Ci o (. 570 ). Ade_lpk, a, ►^ye t'
PRIMARY CONTACT Business Name/Type: —_.. L°-`r)-S 1.-{Z.Z / At.7_
Previous Business on this site: J\ O M 4.
Proposed use:. _ L7A 1 64-160A-il. 17r rJ i n.)6 — �'KlJa4y0j _
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1)
*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 ba4` Printed 11J' Lt.t r?G .a r
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PROVAL INFORMATION
[ Approved as proposed [ ] Approved with conditions
] No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing
site plan.
[ ] This site complies with the site plan as of this date. Backflow Device and/or
Current Test Data Needed
Building Official Date A ( r z 6
Zoning Official Date �zf pIl20Dr -
fp-
Other Official r _ ,, Date
--------------------------------- - - --�W-- - ��- -- 7° "---'------- - ----
County AU4marle Department of Comldhunaty D�4elopme>at
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Applicant to complete the following:
QN
you have one of the following?
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
%k/ 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.
`�?-�_ � � fir• ;. �- t � �,�
C9 1 MoPjcn 1
O OIL[. t .Jr
Tech to complete the
Violations:
Y1
Ifs st:
riance:
Y/N
so, List:
9128/05 Page 2 of 4
Intake to complete the following:
Y /(!P
Is use in LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
VilN
l there be food preparation?
If so, give applicant a Health Department form.
Zoning review can not begin unti we p eive mproval from
Health Dept. FAX DATE i ;s
Y l V q,);,-& a a j
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
V/ N
Is on public water and sewer?
ly N
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit # . n
Y/N
Will there be any new construction or renovations?
If so, obtain the proper Perm'
Permit # ab-6111J�-
Y / 6t) Q
Is this for sales of Fireworks?
If so, obtain a copy of FIR permit.
Permit #
0offers:
YIN
so, List:
A• 666
r
I O'so,' List:
Ylzdeu:� f'&p-t J pT 4
Reviewer to Ca in piete the following:
SyuAre footage of Use: 2 ��
YIN
Permitttd 83_
Under SCCtiora=
Supplemimtary regulations. Smfian, Parking fortnuia: J!k rlam; ftDt1 M.A t6�, r'
Required spaces: ✓' (�
YIN
I n.kio be weed in the field
Inspector Creme & Dale:
Nntes
Pave 4 a f 4