HomeMy WebLinkAboutATL200200001 Approval - County 2002-10-03County of Albemarle .
Department of Zoning
,(j� 401 McIntire Road '
1Charlottesville, VA 22902-4596
(8 4) 296-5875 FAX (804) 972-4060
ATL- Dom- oo/ DATE: FEE: 2STAFF:
35,E
ACCESSORY TOURIST LODGING
OWNER (as ci4rrently listed in Real Estate)
Name JAME5JJAA/ET OA/ Phone (ai9!1--LZ
Address.P/ AAI LI Onn n n It, I),,, /, A. ^ _ i
APPLICANT (if different from above)
Name cS4 Phone
(_)
Address
CONTACT PERSON (if different from above)
Name Phone
Address Day Phone (_)
LOCATION:
-.. uc+.� E^wv1ub A DZSCRIPTION OF YOUR RE IIEST ON THE BACK OF T1
FORM G N
INCLUDINUMBER OF BEDROOMS TO BE USED NUMBER OF BATH] AND ANY ADDITIONAL INFORMATION THAT MAY BE IMPORTANT TO HIS
REQUEST.
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OFFICE USE ONLY S/7t il4
TAX MAP/PARCEL:Q�
1. p g 2 C(9- Od -�Q
2.
ZONE_D _ _ _ _
%�/}- - QRDINANCE SECTION:
"15TING USE: V/
PROPOSED USE:
( ) Special Permit
( ) Variance ( ) Proffers
Magisterial District
Building Official: Action:
Action:
th
t
2dr
I hereby certify that the information provided on this application
and accompanying information is accurate, true and correct to the
best of my knowledge and belief.
L ® �q-I-o. 1T3(;7
Sianature � 2_Date Receipt # Date