HomeMy WebLinkAboutCLE200500323 Action Letter 2017-08-03* CeL V W-\ &44 (91 It ' V & �1
Application for Zoning Clearance 600R11
OFFICE USE ONLY
❑ Zoning Clearance = $35 CLE # `ZOO -5 � 3
PLEASE REVIEW ALL 3 SHEETS Check #q G Date:._ of
Receipt # 5-7[�,U Staffs
PARCEL INFORMATION Iq 1 Cifp�t LC� K9
Tax Map and Parcel: �7� c�VOOy �� �� O Existing Zoning 1�
Parcel Owner: -ad Iy 04 L-G C
ra
Parcel Address: .3444—i Semi H o l t i^t, �� a City C' V t 1 State ��`" Zip Z� O
__ (include suite_or floor)_-_
------------------------- ----------------------- - - -- --
APPLICANT INFORMATION �n - -- ----------------- --- ----- -- -
Who should we call/write concerning this project? (S ��TVG�LS
Address : 0 it ro rjT N c city C 6h,r Lo #4t3 v J t t State Zip Z 2, C? Z
Office Phone: (434) 91 Fax # 4 Z ,1'' 1 l 74 E-mail r3cb6 ?O 3 io A0Z-- C,9' "`
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PRIMARY CONTACT
Business Name/Type: _ /� l C+! 0 /c% �� S`itiod�C 54-w _a'
Previous Business on this site:
Proposed use:
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1)
*This Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to a new location, a new Zoning
CIearance will be required.
I hereby certify that I o r have the owner' a fission to use the space indicated on this application. I also certify that the information provided is
true and accurate to est f knowle e. ave read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed
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PROVAL INFORMATION
] Approved as proposed [ j Approved with conditions
[ ] No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing
site plan.
[ ] This site complies with the site plan as of this date. B$Ckilow Defile and/or
Ten a
Co
ntact A 977-451 x 119
Building Official Date i 1 a
Zoning Official Date 4l 1(9
Other Official" ±` �° O1 DaJ �Q
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---- ouny obemare Dermt of ommunity Deveopm---ent-- --- --- - --- -
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
9/28/05 Page 2 of 4
Applicant to complete the following:
" N
oyou have one of the following?
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
YIN
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 rooms or area
If using less than the entire structure, note the location within the
structure.
5u t- -e l3
%.e4'W-cek) UPS AND
MA,ctrn us 6,
Bonne Tech to complete the
Viol eons:
Y l
Ifs , ist:
Vari e:
Y I:
If s
Intake to complete the following:
Is use LI I or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet. P O C
Y th Will ere 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
Is
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
N r
on public water and sewer?
Yjl N
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permit. �+ v e r\j +- u
Permit #
_Y// N
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit # "d 42 Cr7
Y IN
Is is for sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
Pro
YI
If so, tst:
JIN
If so, List:
7
— 00
Revtewver to complete the ro[lnwing.
gnke rootage ol`Use; [ uqo,O�
91 8fU5
Permftcd as; 1
Under saction. .7'Z • a •j:.a )
supplern tnry regulations tkfion:
Parking fonnuln. 7Lp?1snr.% � $1(pN0}e51 = y$ �S ttC.N•
`_ 60l�O
Regnired spwes= -4`i gwfq V►01 wt5 ? .
Y lE Item o be verified in the field:
168pedor Naraie & Date:
Notes
3l28105 rage 4 a f 4