HomeMy WebLinkAboutCLE200500324 Action Letter 2017-08-03FADplic :ZOWD9
za for ZoningClearance m
OFFICE USE ONLY
Clearance — $35 CLE # Z oo 5
'PLEASE REVIEW ALL 3 SHEETS Cheek # -7 1tlate,
f
Receipt #—`C��(of7 Staff:
PARCEL FORMATION
Tax Map and Parcel -
Existing zoldug.
Hai -eel Owner- �A•� 5•v'Ir
Parcel Address: 3 7 !- i iu 5 ', �rL aty g444xv`442 State X zip 2Z(7/1
Rohde sni or Boor
APPIACA INFORNIXh69 . --........--..__�- ----------------------------- ----- ------------------------
Who should weeccalllwrite concerning this project? [' %� AlinJeAWI&L /^/r,
Address;city
'l�y�E- .8tate �id•pZZZ
Omcf Phone: { � 26�-235� Cell # �3`���a3
L Fax E-malI , fPff ac LC@� Opp �a(i
-PAY CQNTA.CT - `-----------------------:----------------------- •------------ -------------------------------------------
BusinessIagtpe; fI 14�� 7_./_M c fi-es—A-071-A C $
rivvious Jaasiness on this site: /
Proposed 0M.
0i cple (if applic ble): Fireworks I CMris12ns3 TMt
SEI± CONIDMON'S OF APPROVAL IF THE CLEARANCE YS FOR FMEWORK OR CHRISTMAS TREE SALES (Sheet 1)
ghis' Clcsraape'will only be valid on the parcel for.which it is apprwved. If you change, intensify ormove the use to a new location, j new Zoning
Nea uce will be rcquised.
"6h _by certify that I own or harm the ovvaWs peMotission to use the space indicated on this application I also octtify that the inforn,aEicm provided rue and accurate to a heist of my knowledis
I havo read the conditions of approval, arA I understand thou, end that I will abide by them.
ZiaPrinted
- -- — --- - -- --------------------------------------------------------------------------------------- -----------------------
] Aoved as proposed
• � ] i#ppraved with conditions
ldo'ghysicW site inspection has been done for this clearance.
ite plaan.
] This site compiias with the site plan as of this d9e.
Tiler &M it is not a determination of compliance with the existing
Badfiow Dertce aad
Curt Test Data Needed
• -- ear
Date a �
Wining OlRcial Date j ,
"fier• Ofleial Date
.�------------------------ - ---- - --- = -� � � 4
County of Albemarle pat men oi' ommnnity Development
401 Mantire Road Charlottesvfe, VA 22902 Voice: (434) 296-5532 )Fax.- (434) 972-4126
VOOR00d WBR!4 9001 I 020 9ZlVLZRD XBJ UNX0130 AIINf1 OO
,TAM ,. P&axit to COMPlete the followi0g:
' Po you have ogle'ofthe foncrww
Tax Map and Parcel Number and or;
;Address of u.So occlude unit or finor if appropriate;
Do you Irawte a 1~ poor Plan (sketch or an archit«iivai drawing) that
.: ndides.the folloiwing, and if so please provide it with the
:application?
.1be total squm footage of the use and/or;
The square &Otage of each room or area of use;
Use of each room or area
'If asIng less than tic entire structure, note the location within the
S=Ct pre.
Tech to complete the
fsa, �.. v�.
Intake to complete the following:
Y N
IS4 LI, M or PD1P zoning? If so, give applicant a Certffied
Engineer's Report (CF-R) packet.
Y
Will Pere be food preparation?
tf so, gave applicant a Health Department farm.
Zoning review can not begin until we receive approval from
Health Dept, FAX DATE _
Y
Is p1ma an private well and septic?
If so, give applicant a health Department farm.
Zoning review can not begin until we receivc approval fi=
Health Dept. FAX DATE
J/ N
an public water and sewer?
Y j' N
il, you be putting up a new sign of aqy kind? If so, obtain.
proper Sign permit.
Permit #
(Y�/ N
ill there be my new construction or renovations?
If so, obtain the proper permit~
Permit #
Y Is 1�2r Sales of Fireworks?
If so, obtain a copy ofF/R permit.
Permit #
/ N
f so, List:
.CIA-- )q I I - it)
� - ■!.�L"iial
IN
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I MITI -- d
V001600d WN G Soon G 020 9 GMBPEv x23 UN301300 hi 1 NnWKW
-footage 0juse:
Yll! x . , %
` mdc r Section: �• 2
supplementuy regtaations section:
:ParklingfoimWi: �� 03� aoo r T3 col
A� - � �e
ltcn $e:YaWgd in the field:
' hsimdorNameA Date:
Now
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