HomeMy WebLinkAboutCLE200900046 Review Comments Zoning Clearance 2009-07-22Application for Zoning- Clearance
CLE # .Z cjC__,1C7 _ q o
Zoning Clearance = $35
OFFICE USE ONLY
Check # J00'__1, Date: 3-2 5--09
-- PLEASE REVIEW ALL 3 SHEETS
Receipt # 7ei60,5? Staff:
PARCEL INFORMATION
Tax Map and Parcel: 064,6' 00 # R 0 Existing Zoning n oL u1y4oLV ev
Karel- Owner: o PV -iQ
Parcel Address: S -7q1 -3 -S v LiX.i� City e-ro Z2 t" State Vct-- Zip��q
(include suite or floor)
PRIMARY CONTACT
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Who should we call/write concerning this project?
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Address t,13 W) Mai S� - City ��J;� Vi � � State A Zip 0-
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Office Phone: LID ) WCell # 5;1- 834 Fax # E -mail L Ii-,- l (e e
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APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name /Type:
Previous Business on this site U C� c , '1°'v_ 11 , -S is D/ e
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
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vehicles, and any additional information that you can provide:. (r„T2 ir�FY' e 1/1 ry`1�e, :ye, 1 Q P V" ) L; Uiz �0
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*This Cldarance 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 pennission 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.
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APPROVAL 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 /g
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
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