HomeMy WebLinkAboutCLE200500326 Action Letter 2017-08-03�s
Application for Zoning Clearance T
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OFFICE USE ONLY
19 /Zoning Clearance = S35 CLE # -3A io
Check if O Date: o -
PLEASE REVIEW ALL 3 SHEETS Receipt # 7ja-
2 Staff:
C2r-3-06
PARCEL INFORMATION
Tax Map and Parcel: Existing Zoning
Parcel Owner: /,S 2411 l!l 611.zMfg &Wmeea
Parcel Address: ! X
Ift
ZA�®L� G City �i�i,�i�LState !r/�V l/�/� Zip
- -- rnclude suite or floor ------------------------------------------------- —
APPLICANT INFORMATION
Who should we call/write concerning this project? CJ�&5— -
Address: 11ff wp,ee 7;P-"f G City S Ae State f11jegf lit'/A Zip 244P/
OftSce Phone: (Lf, ! 3 5'3Cell # qblyl Fax # t7lbE-mail _h "OW711 SCA)e . Gd lK.-
PROJECT INFORMATION r i
Business Name/Type:
Previous Business on this site: .�
Proposed use: -- :&&��� Z reWr S�LE 1 f s�OcS Z Jt O37 —
Circle (if applicable): Fireworks I 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 owner's 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.
Ice—
Signa Printed
APPROVAL INFORMATION
( ) Approved as proposed ( ) Approved with conditions
Building Official
Date
Zoning Official
f f
Date
Other Official Date
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County of Albemarle Department of Community Development
9/28/05 Page 2 of 4
Applicant to complete the following:
YIN
2you have one of the following?
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
QN
you have a Floor PIan (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
Vi5ns:
sIs
ariance:
IN
so List:
—OZ
r
r
Intake to complete the following:
Y/0
Is use in LI, IR or PDIP zoning?
Engineer's Report (CER) packet.
If so, give applicant a Certified
Yl
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
Y
Is parcel 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
on public water and sewer?
Y ION
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit #
Y
WiI ere be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Y /N�
Is th' r sales of Fireworks?
If so, obtain a copy of FIR permit.
Permit #
Proff�
Ifso,'iist:
Reviewer to complete the following:
Square footagc of Use:
`/Z51lfil r'a?,C 3 OF 4
Y /"N
Permitted Ai�:
Under Sioction.,
Supplcmentsty regulations section_
Parking formula:
Required spaces:
YIN
Items to be vcsified In the field:
IrF4pecttrrName & Dam:
Notes
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