HomeMy WebLinkAboutCLE200500327 Action Letter 2017-08-03Application for Zoning Clearance
OFFICE USE ONLY
oning Clearance = $35 CLE # a'Z,
PLEASE REVIEW ALL 3 SHEETS Check # Date:
Receipt # Staff- D3&1—_
PARCEL INFORMATION Cb 2 Jar a
Tax Map and Parcel: ® `W _0050 Existing Zoning
Parcel Owner: NA-PONA C. 6nOtd /V 1� _,- -'L -t 1. f I�q e M C--6- C L_-nl Tz"-Ft2 4440 0.41
Parcel Address:,/:Ro 5 5 ad U t d ens Wk City n-a r lde:sy 1 Ile State V A . Zip 2291111318
(include suite or floor} - -----
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APPLICANT INFORMATION
Who should we call/write concerning this project? i� lE )AVII
Address : 0 2- t�D� 7L r� City PQ. S 17 u tat. VA_ Zipa" 3
Office Phone: 49*' 0X1-g33l Cell #� y� _ Fax #6510 E-mail C LA2H&Pmra `'5 tOnrtlec WM-
f,�pr{- l-eC30� 953-700QSr0-731a7 . Connecr c or-r ,
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PRIMARY CONTACT_
Business Name/Type: V • C . 1 f912Q 011 St -OP.
Previous Business on this site:
Proposed use: �R6 en— S tfo r ......--
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 own or have the owner' permission to use the space indicated on this application. I also certify that the information provided is
true and acc e t e best of y le e. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed A60.--Ilol hae.
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APPROVAL INFORMATION
it j Approved as proposed Approved with conditions 5;me 4?4"
[ ] No physical site inspection has been done for this clearance. Therefore, it is not a d of compliance with the existing
site plan. Bac
oW D
[ ] This site complies with the site plan as of this date. d]
Current Test D N:d/or
-451 1
Building Official Date � �3
Zoning Official Date /y/L-71&Zr
Other Official onDate
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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
9/28/05 Page 2 of 4
Intake to complete the following:
Applicant to complete the following:
9/ N
`Do you have one of the following?
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
Q / N
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. 1'b 1
re MIMI- �
Soning Tech to
Violations:
Y/N
If so, List:
Variance:
YIN
If so, List:
the
of
Qusle
I LI, HI or PDIP zoning? If so, give applicant a Certified
Engineer's Report (CER) packet.
Y / W �laeie C.�
Will there 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/NQ
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
Is on public water and sewer?
Y l0
Will you be putting up a new sign of any kind? If so, obtain
proper Sign permit.
Permit #
Y/th Will ere be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
/tOD
Is this or sales of Fireworks?
If so, obtain a copy of F/R permit.
Permit #
N
f so, List:
,MA q4
-�z f
_X,//N
If so, List: P
!�2-2 9 03 3 ICV
9/28/0 Page 3 of 4
Reviewer to complete the following:
Square footage of Use: 10 0
Y / N �C7
Permitted as: T
Under Section: N /�
Supplementary regulations section: -A 7G4?1
Parking formula:
Required spaces:
Y/ N a e- co j CCU. � S.),
Items to be verified in the field:
Inspector Name & Date:
Notes
3/28/05 Page 4 of 4