HomeMy WebLinkAboutCLE200900058 Review Comments Zoning Clearance 2009-04-28-- -- Applicati-on r Zo l Clear_anc_e
GLE
Zoning Clearance = $35
OFFICE USE ONLY,
Check # Cl od Date: �i IS g
PLEA REVIEW ALL 3 SHEETS
Receipt # —1 -I 2. Staff: y b>a
PARCEL INFORMATI N / / (
Tax Map Parcel: �`� C_
and Existing Zoning J
parcel Owner:,
Parcel Address: 1� Q n� �1 o�k� W G City Ci�V;v -(p i �;�L� �i State \)P\ Zip &3 -`i
"
(include suite or floor) -:�b t pi t
PRIMARY CONTACT
Who should we call/write concerning this project? cl� /
Address : 1 �s City State Zip
Office Phone: (T4 l Q(; UL( - ObU "7 Cell # q(05 ' l 3;-D Fax # (o �-f - 0 n E -mail
APPLICANT INFO ION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name /Type:
Previous Business on this site ? C iw'a — UO 1"A l c�
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: } - 16" - "n gv a't'
*This 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 the best of my knowledge. hhave read the conditions of approval, and I understand them, and that I wi 1 abide by them.
Signature Printed �-aL°- �cR
�
U
AP OVAL INFORMA � N
[ 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