HomeMy WebLinkAboutCLE201900050 Approval - County 2019-03-21CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner,
I certify that notice of the application, Application of Zoning Clearance
[County application name and number]
was provided to Chuck Lebo
[name(s) of the record owners of the parcel]
and Parcel Number 45-94A 04500-00-00-094AO
manner identified below:
the owner of record of Tax Map
by delivering a copy of the application in the
QHand delivering a copy of the application to
[Name of the record owner if the record owner is a
person; if the owner of record is an entity, identify the recipient of the record and the recipient's
title or office for that entity]
on
Date
Mailing a copy of the application to Chuck Lebo
[Name of the record owner if the record owner is a person;
if the owner of record is an entity, identify the recipient of the record and the recipient's title or
office for that entity]
on 3/15/19
Date
to the following address:
1945 Old Gallows Road, Ste 300, Vienna, VA 22182
[address; written notice mailed to the owner at the last known address of the owner as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
4iX2L
Signatuf Applicant
Allison Stanowski
Print Applicant Name
3/14/19
Date