HomeMy WebLinkAboutCLE200900002 Review Comments Zoning Clearance 2009-02-06Application- for Zon-in g Clearance
CLE#_:W-q— '—I
Zoning Clearance = $35
OFFICE USE 07.�L
Check Date:
PLEA + REVIEW ALL 3 SHEETS
-#
Receipt#
PARCEL INFORMATION
1- 14 r- S SYC- Zoning
Tax Map and Parcel: ;!�9 Existing
Parcel Owner: (9z--b 770-914- Lid
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Parcel Address: - V State VH zip A,)L?7;
.p City
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project?
Address: o20 C Jul 1,z--oeV?F4,) City zip
Office Phone: -� 90N-129? Cell # Fax 2,;W- OV ail 3(5C_-:h Vq
/L/p7t' 107' ot-,'b V�9^J
APPLICANT INFORMATION
Check any that apply: _ Change of ownership _ Change of use _Change of name New business
Business Name/Type: 1-7, 617 /677 Z g-01 - C (-3!
Previous Business on this site Nlo-� A-pp c le__�
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Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
vehicles, and any additional information that you can provide: 09- L 5-� tl�96el\,TIAIZ COUP4,eS
FZ110>0e)q1S_111QC1_ IFVF�T Ab)Z q z_orR4. /�/vmfih,) e_)6-47-_S 7)0' L/
nVol- Sa6b ..07 7AkV1 9-W-11iE - S6'Z_ 7912-ACAAE-Z � Z7oZ/-Z
*This Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move Te u jo a new location, a new Zoning
Clearance will be required, 0
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I hereby certify that I own or have the owner's permission to use the space indicated on this application. I also th7t theinfori-nation 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.
Signature Printed
APPROVAL INFORMATION
i
Approved as proposed Approved with conditions Denied
Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, x119.
No physical site inspection has been, done for this clearance. Therefore, it is not a determination of compliance with the existing
site plan.
[ ] This aite comalies with the site,plan as of this date
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Notes: OA±04Ace, W141 OiL"t ",V-5
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Building Official <z:�- Date
Zoning Official Date
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Revised 04/28/08 Page 2 of 3