HomeMy WebLinkAboutCLE200500329 Action Letter 2017-08-03Applicatl - for Zoning Clearance
OFFICE USE ONLY 1�:J, `•..` `
onmg Clearance = $35 CLE # zoo S — 3 ti
PLEASE REVIEW ALL 3 SHEETS Check # Zz5 cf _ Date: r - - QS i
Receipt # 5 - "7516 _ Staff -
PARCEL INFORMATION ( -3-4(0
Tax Map and Parcel: 06 I W a _ Q3 _b6 —6 R) A 6 Existing Zoning C n ryl 11r
Parcel Owner: } t
Parcel Address:_ 'IOW 13 �-o lv,, %&-d, tDPK) I I L N City CA �ML14sV'-I State Zip �'- S?Jy
------------------- ----- (include suite or floor)--
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APPLICANT INFORMATION -- - --"--"
Who should we call/write concerning this project? E
Address : G mmp L L City 0— 0 f CState Zip gQ l
Office Phone: `44 L) (PI T7Cell # 540-fig q&(oV Fax # I1771A S/ E-mail C-Ur tj e L) toLIF, m�
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PRIMARY CONTACT `` I . j`
Business Name/Type: o' lu c4 17 1�� Utz�55 A,; W Pt'�, �� L O SS 'Fo 1?0OPp 5c n'
Previous Business on this site:
Proposed use:
Q 1.
01
Circle (if applicable): Fireworks / Christmas Tree
0
P4 u os
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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 anew location, anew Zoning
Clearance will be ired.
I hereby certi that own or have the o ees permission to use the space indicated on this application. I also certify that the information provided is
true and accu to to a best of y kno dge. IWe read the conditions of approval, I understand em, d that I will abide by them.
Signature L�( G 'y
gn Panted a 71�11 �
r
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P ROVAL INFORMATION
pproved 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. RaC"0W DeVW 2Ud/or
Building Official Date
Zoning Official Date _ ®���� 2�
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:
Applicant tQ cc. . ke the following:
YIN
Do you have one of the following?
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
Y/N
Do you have a Floor Plan (sloe iLnr 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; L/
Use of each room or area
If using Iess than the entire structure, note the location within the
structure.
Soning Tech to
Vio •ons:
Y f N
Ifs t:
RVriance:
Y s N 'st:
the
Y /O
Is use in LI, HI or PDIP zoning?
Engineer's Report (CER) packet.
YION
Wi"ere be food preparation?
If so, give applicant a Certified
If so, give applicant a Health Department form.
Zoning review can not begin until we receive approval from
Health Dept. FAX DATE
Y 6)
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
�31/ N
Is on public water and sewer?
Y
Wi ou be putting up a nej sign of any kind? If so, obtain
proper Sign permit.
Permit #
Ylg)
Will there be any new construction or renovations?
If so, obtain the proper Permit.
Permit #
Is / T �
Is thor sales of Fireworks?
If so, obtain a copy of FIR permit.
Permit #
Y l(
If so,
SP'L't.
Y
If s
F[ev ICY+er to CORI Pic 110wing:
Square fdu#ngc of Us.
YIN +
Permitted as' l•
Under Section: 2Z'
Supplementary rMtjlatime caivn;
Parking formula:
Required spaces: $
YIN
Items to be verified in thr field,
Inspector Name & Datet
Notes
3 ?81Q5 Pape 4 of 4