HomeMy WebLinkAboutCLE200900038 Review Comments Zoning Clearance 2009-03-25A - =1ic -anon for Zonin ance
- PP - _ Clear
CLE_ #_,-
n
` Zoning Clearance = $35
OFFICE USE ONLY
Check # 6,315 Date: A
PLEASE REVIEW ALL 3 SHEETS
Receipt #- Staff:
PARCEL INFORMATION �
--7 f4?tf'sting Zoning
Tax Map Parcel: -- ��° /
and /
Parcel- Ownerc�,—
Parcel Address: C) 1,��,� X'yN� t�(� - �C�, City State Zip 3
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? s,
Address . (, �j 1- Cc.,,a ��� �\ C( City \A C ;'S I State Zip 7. 3
Office Phone: Cell # i(3it X55 `fir Fax # E -mail
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name /Type: �%, t � f� iC�� cCc+,1i+ , C' P
Previous Business on this site l ,Csd1 �1�`11 CP_ , ocp�
Describe the proposed business including use, number of employees, number ofqshifts, available parking spaces, number of
hicles, information A)i A &� �
v and any additional that you can provide: ii�nn �-
rr' es
c, ,(��tc,,a S
:a ncp
*M Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to a new location, a new Zoning
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 Ae best of Ay knowledgeXave read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed�J I IL
APPROVAL INFORMATI N
;_1 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 C j
y
Zoning Official Date 31-- -; o
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