HomeMy WebLinkAboutCLE200500325 Action Letter 2017-08-03Application for Zoning Clearance
Yam.
OFFICE USE ONLY
1311z'
oning Clearance = $35 CLE # -z_ba 5 ""` R
PLEASE REVIEW ALL 3 SHEETS Check # 464 3 3' Date: 0:29-015
T
Receipt # Staff:
PARCEL INFORMATION 03 G (�} •����
Tax Map and Parcel: Existing Zoning_",—Pb 6kc—
Parcel Owner: a
Parcel Address:_ � ' ,�)��, i 2e0�_ CityCl{MA.o j jLA.�tate Zip 2 /�
- -- N-- T (include suite or _ of— o----------
APPLICA---- -- -
------�'
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INFORMATION
Who should we call/write concerning this project?
Address c �_� �{ 7 _ _ Cityc ,L��, L� f State Zip
Office Phone: `-A) - 61 b J Cell #
Fax #
E-mail
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PRIMARY CONTA
Business Name/Type: !�RiN&Q8AV9_�,/
Previous Business on this site:
Proposed use: ccr
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 bestQk ledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed_
- - - - - - - - ------------------------------------------------------------------------------------------------
- ---------- -- --
ROYAL 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.
Building Official Date
Zoning Official Date
Other Official Date
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County of Albemarle Department of Community Development
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:
0 N
IIo you have one of the following?
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
Y N
o 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.
Tech to complete the
Viol ns:
Y /
If so, st: A
Va • ce:
Y
Ifs st:
Y 'L%
Is use in LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
Y
Wil ere be food preparation? I _ }-)eAjC Tre
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from
Health Dept. FAX DATE
YIN.
Is cel 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
YJN
Is on public water and sewer?
WULyWbe putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit #
VN
ill there be any new construction or renovations?
If so, obtain the proper Permit.
Permit # �— &C;?7'1s4G
Y
Is or sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
YN
so, List•�6Q*
Y)/ N
.ff'so, �List:
Reviewer to complete the, following:
Square footage of Use:
9/28/05 Page 3 of 4
YIN
Permitted as: SS�
Under Section: 2� �.��- --to -1?1 •2- il,(--;, )
Supplementary regulations section:
Parking formula: 1 S &- W�a f
Required spaces:CC- S
/YI N
Items to be verified in the field: I
Inspector Name & Date:
Notes
3/28/05 Page 4 of 4