HomeMy WebLinkAboutCLE200900005 Review Comments No Submittal Type Selected 2009-02-02ion for Zonin _Clef
' Existing
Parcel Address: % �°`°�"'� C State Zip
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project ? -
_ City State : 777,- � t Zip
Office Phone:46� 1 � 71- V Cell NN-
ax, �� t�� i E-mail e � % s3 ��9 �
I APPLICANT INFORMATION
Business Name /Type:
Previous Business on t
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: L-�?
*Thus Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to anew location, anew Zoning
Clearance will be required.
I hereby certify that I own or have the owner's percussion to use the space indicated on this application. I also certify that the information 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.
-I;- le ..�
Signature Printed.-..-.--
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -SS32 Fax: (434) 972 -4126
Revised 04/28/08 Page 2 of 3