HomeMy WebLinkAboutCLE200500316 Action Letter 2017-08-03r
Application for Zoning Clearance
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OFFICE USE ONLY
❑ Zoning Clearance = $35 CLE # -z-ooc " 3
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Rec 1 t # 1 Staff:
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VW'PARCEL INFORMATION
Tax Map and Parcel: O �z, --�ci �b .06� b Existing Zoninqe
Parcel Owner: �%� � '(/�,Y� S' 96 O Hl (tv, i`k gA.
Parcel Address:-Tm+iz �6D -city � 1f7. C,o . State 1�� Zip
_(include suite or floor)
APPLICANT INFORMATION
Who should we calllwrite concerning this project? _MA
Address —122 51 I\ I 01 MC�aj_ _' 6— City kt 6, _ C,0 UState V %t, _ Zip 22911
Office Phone: b0 Cell # 5S I — I I clo Fax # _ E-mail
PROJECT INFORMA
Business Name/Type:
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Previous Business on this site:
Proposed use:
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet3)
*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 ownees 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 <2r 4 Printed
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•
APPROVAL INFORMATION
( ) Approved as proposed approved with conditions
nunuing "Julciai (Date (AA yl Q S
Zoning Official Date I z /a 8/6 s _
Other Official Date
-------------------------------- ---- --f --=------------------•-------........------•-------........
County of Albemarle Department of Commxinity Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
3/3/2005 Page : _.
Applicant MUST HAVE the following information to apply: o� �� LE
1) Tax Map and Parcel or Address with unit number or floor if appropriate. �i7E pLA-r i
2) 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; �6 v
c) Note the square footage of each room or area of use; `
d) Note the use of each room or area of use.
Intake to complete the following:
y 1(D Is the use in a LI, HI or PDIP zoning? IfC
If so, give applicant a Certified Engineer's Report (CER) packet.
�� Can not issue until CER is approved by the County Engineer.
y � N) Will there be food preparation?
If so, fax application to Health Department. FAX DATE
Can not issue until we receive approval from Health Dept.
y 1 N Is the parcel on private well and septic?
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If so, fax application to Health Department. FAX DATE
Can not issue until we receive approval from Health Dept.
Y N Is the parcel on public water and sewer?
N Will you be putting up a new sign of any kind? a �D s � S� S /200-57-
�00If so, obtain proper Sign permit. Permit#
I VN Will there be any new construction or renovations? Lea �G
If so, obtain the proper Permit. Permit # �� �M
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1 Os this for sales of Fireworks?
If so, obtain a copy of FIR permit.
Zoning Tech to complete the following:
y I IN) If so, List:
Var' e:
Y 1 N' If so, List
Reviewer to complete the following:
Square footage of Use:
Under Section:�2 ZS
Permit #
Prof s:
Y 1 If so, List:
'ISNP If so, List: .1
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Y
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Permitted as: —V J*� �
Supplementary regulations section:
Parking formula: r Required spaces: S ice- 0—
Y. 107 Items to be verified in the field: