HomeMy WebLinkAboutCLE202100043 Application 2021-03-25\U
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Application for Zoning Clearance for
EVENTS OR ACTIVITIES AT A
FARM WINERY, BREWERY OR DISTILLERY
Owner/Applicant Must
Read and Sign
I hereby certify that I understand the requirements outlined and that the information provided on this
application and accompanying information is accurate, true and correct to the best of my knowledge
and beliefs P, /"
Ax ff Ogles
Printed Name
Other Official
Date
Zoning Official
Date
3� la/aua!
Date
43q - 960 - 04,96
Daytime phone number of Signatory
APPROVALS
FOR OFFICE USE NLY CCLE #�.Vpt I' ``I'i Fee Am�i ount$ Date Paid
By who?". \ Receipt # �-�� k# C C By: S
611110 111 r'L•
Application for Zoning Clearance for
EVENTS OR ACTIVITIES AT A
FARM WINERY, BREWERY, OR DISTILLERY
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning Administra-
tor Determinations or Appeals, Sign Permits, Building Permits) if the applicant /s not the owner.
I certify that notice of the application, gr ZUruna Clear'dhGd Fa- rm f t1-nen,
[County application name and number]
was provided to Crrtun Drcha(j 6m pilau L,66- the owner of record of Tax Map
[name(s) of the record oWneis of the parcel]
and Parcel Number $'} • 20 d Sy - IgtI- by delivering a copy of the application in the manner
identified below: II-- / /� n
Hand delivering a copy of the application to ACn!i r hiley I l: wl)(�rnno,�
[Name of t e record own r 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 dopy of the application to
[Name of the record owner if the record owner is a person; if the own-
er of record is an entity, identify the recipient of the record and the recipient's title or office for that entity]
on to the following address:
Date
[address; written notice mailed to the owner at the last known address of the owner as shown on the cur-
rent real estate tax assessment books or current real estate tqx assessment records satisfies this require-
ment].
Signature of Applicant
Njg # Oh,le.s
Print Applicant Name
'sll4./ a��l
Date