HomeMy WebLinkAboutCLE200900041 Review Comments Zoning Clearance 2009-03-19F
Appl =cao -- -n for= Zonn�- C— leara -nce - -
a =�� � ��
- - _ - -- - - -- - - -- CLE #D
Zoning Clearance = $35
-- — - PLEASE REVIEW SHEETS -
OFFICE US ONI,Y
Check #�d y Date:'
Receipt # -7W l - Staff:
ALL 3- .
PARCEL INFORMATION
Tax Map and Parcel: -7-6- — 5q- ��-k� Existing Zoning CIO
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- -- Parcel- Owner:__ < / / -�`� --
Parcel Address: fsc) City (e- State V Zipo"�991 f
(include suit (\or floor)
PRIMARY CONTACT n/�
AO
Who should we call/write concerning this project? r\ CCEp-� 1
Address : 1-2, ` �
Q c5 cj P4- � IDC-) City [ k1=So; !L State V
Office Phone: `(( 3t() a!S - . d s Cell # Jq (,-3 9 3 Fax # e 95_-3--)Of E -mail
APPLICANT INFORMATION
Check any that apply: V Change of ownership ) Change of use _Change of name New business
L
Business Name /Type: i v,,,�nn5
Previous Business on this site
Describe the proposed business including use, number of employees, number of shifts, avai able parking spaces, number of
vehicles, and any additional information that you can provide: d-, C_ M - "
I D l.S S 00-
` —
*This Clearanct iill only be valid on the parcel for which it is4ppjoved. If y change, intensify or move the use to a new location, a new Z na
Clearance will be required.
I hereby certify that I own or have the owner's permission to use the space indicated on this application. I also certify that the information provided
is true and accurate to ,Jhe best of I have read the conditions of approval, and I understand them, and that I will abide by them.
/my�owledge.
Signature G' Printed r\ v" _
AJ&ROVAL INFORMATION
] 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 site complies with the site plan as of this date.
Notes:
Building Official 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