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CLE200500313 Action Letter 2017-08-03
Applicatio for Zoning Zoning Clearance = $35 PLEASE REVIEW ALL 3 SHEETS PARCEL INFORMATION or Clearance e OFFICE USE ONLY CLE # Q 5— 31 Check #___ Date: _per Recei t# 5749 � Staff: 1 Tax Map and Parcel: 03;2 00 " 00 — 0 0 r 09 3 0 0 Existing Zoning Pip 1 y1 Parcel Owner: 9. e St MCI kk'' II Parcel Address: Z(A 1 C &A nn r r ;1/G City ( ,ha r l b ii v � � tf- State V A- Zip ZZ407 floor) -APPI-CA_NFO_RMATION _ ______________ -----------------------------------------,----�--o--b--�--r-.-�---�ti-+-�---r-n--e-�-- Who should wecall/writeconcerning thisProJect. Vzr-ure C6nC-rUf+1'a13 '" a h ,A j 1,r� Address : Crl, State n G Zip 2 7 d Office Phone; (IW q CelI # rZg"jf Fax # 9-4"52-2bf JE-mail Q C5 Vcn-1 kM Ja Jj0 P%r YCO& - --------------------------------------------------------------------------------------------------------------------------------------------- PRIMARY CONTACT Business Name/Type: --- L El,S is, r , 1 - Previous Business on this site: Proposed use: x 119 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 ormove the use to a new location, a new Zoning Clearance will be required. I hereby certify that 1pV o haS#1e owner's permission to use the space indicated on this application. I also certify that the information provided is true and accurate owledge. I have read the conditions of approval, and I understand them, and that I will abide by them. r Signature r Printed e f 4— 51 fM%n C 1'rM a MEmc -- APPROVAL 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 nlan_ Other Official Date - 3 ------ - - ------------ ©u-- - �- - �� �--------------- --- ---------------------- ---------------------------------- Coun P of Albemarle Department of CommunityDevelopment 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 Intake to complete the following: 9/28/05 Page 2 of 4 Applicant to complete the following: YIN Do you have one of the following? Tax Map and Parcel Number and or; C5 Address of use (include unit or floor if appr ); —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. "oning Tech to Vior�,St: ns: Y Ifs the Variance: GIN so, List. V0-260L( 4� ) 12To-art Yl Is us m LI, HI or PDIP zoning? Engineer's Report (CER) packet. If so, give applicant a Certified W/ N Will there be food preparation? If so, give applicant a Health Department forth. Zoning review can not begin until we receive approval from Health Dept. FAX DATE IZ • 11-1),5 + 1 Z` 2D -4C Y / Is p el 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 f/ N on public water and sewer? Y l Will ou be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # Y / (T Will ere be any new construction or renovations? If so, obtain the proper Permit. Permit # YN Is or sales of Fireworks? If so, obtain a copy of F/R permit. Permit # ✓ ; spy Ir.��s ✓ j �c �J 17 cU' ✓ I/ N so, List: IN so. List: —tq?6-13r A.. -2-Wi-nq 3 of 4 Reviewer to complete Lb [nilowiug. S�c'�D Sq Mar'. footage of Use, ft, tied as, Under Section: 2'54.2 .. L zg.2 • LSAD SUPPICMeMMN regulations section; Parking formula: nL,..n,�:,,... ... Required spaces: YIJr ltmns to be verified in thr fitl& � �Z Iuspwor Name & Date: Notes 312 S/05 Page 4 9 4