HomeMy WebLinkAboutCLE200700004 Action Letter 2017-08-03Application for Zoning Clearance
OFFICE USE ONLY
erZoning Clearance = S35 CLE # '
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff.
PARCEL INFORMATION
Tax Map and Parcgls 075CO - 00.00 — 0 730 �' Existing Zoning
Parcel Owner:
W1
Parcel Address:_ fsV_ lg44.f, a j • City C �VI State
_(include suite or floor)_
APPLICANT INFORMATION
Who should we call/write concerning this project? E4& J 7`t M-63'
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Address :.� .a�� f-C"i•. �1u1 4 ZON- City tr
�'t/I��� State_
Office Phone: (__) R7Z -D106 Cell # -:Q3 ' NY Fax # 970 407 E-mail
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PROJECT INFORMATION —
Business Name/Type: /G A J
Previous Business on this site: !Y 0 to•L,
Proposed use: i/`s f off! Ce
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREW
*This Clearance will only be valid on the parcel for which it is approved. If you change, inte
Clearance will be required.
Zip 2z?//
ALES (Sheet3)
n, a new Zoning
I hereby certify that I own or have the owners permission to use the space indicated on this application. I also certify that the intormation 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.
Signa ' /ll0 Printed ��N �GL - 9 'D
APPROVAL INFORMATION
( ) Approved as proposed { ) Approved with conditions
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) 9714126
313/2005
Applicant MUST HAVE the following information to apply:
1) Tax Map and Parcel or Address with unit number or floor if appropriate.
2) A Floor Plan - either.a sketch or an architectural drawing
a) If using less than the entire structure, note the location within the structure;
b) Note the total square footage of the use;
c) Note the square footage of each room or area of use;
d) Note the use of each room or area of use.
Intake to complete the following:
Y / Is the use in a LI, HI or PDIP zoning?
16/1 / If so, give applicant a Certified Engineer's Report (CER) packet.
Can not issue until CER is approved by the County Engineer.
Y / . T Will there be food preparation?
If so, fax application to Health Department. FAX DATE
Can not issue until we receive approval from Health Dept.
Y ! Is the parcel on private well and septic?
If so, fax application to Health Department. FAX DATE
Can not issue until we receive approval from Health Dept.
Y N Is the parcel on public water and sewer9
Y / NWill you be putting up a new sign of any kind?
If so, obtain. proper Sign permit. Permit #
N Will there be any new construction or renovations?
If so, obtain the proper Permit. Permit
Y / l Is this for sales of Fireworks?
) If so, obtain a copy of FIR permit. Permit #
Zoning Tech to complete the following:
Violations:
Y / N If so, List:
Variance:
Y / N If so, List
Reviewer to complete the following:
Proffers:
Y / N If so, List:
SP's:
Y / N If so, List:
Square footage of Use: Permitted as:
Under Section:
Supplementary regulations section:
Parking formula: Required spaces:
Y / N Items to be verified in the field: