HomeMy WebLinkAboutCLE200900061 Review Comments Zoning Clearance 2009-04-27�I
-- Appl- beation for Zonin Clearance
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® Zoning Clearance = $35
OFFICE- SE=ONLY _
Check # i6 6 Date: Li`2 2 q
PLEASE REVIEW ALL 3 SHEETS
Receipt# Staff:
PARCEL INFORMATION �v -
Tax Map and Parcel: (Q i Woo,'3 co D D A 1 Existing Zoning
Parcel Owner: u P-T 1 N U 1,5T M &ill T C6.
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Parcel Address:�� C-1 N c& b n 6) _ D— City CVAA k L![ (Ptate U M Zip 2290 )
SLL i•r,2 ao_5 (include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? 51J-%A- w►i-t1DAl - IJ-ZQ1 AVA LAN D CO
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Address: 1q-11; a[� I? SEND D R . City C. al to l G State �% Zip u�o
Office Phone: (.qN g[ Cell # VIOL • a 5 SS Fax # aC11 51 d E -mail \ LLrnel +cvl Ql1 •
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
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Business Name /Type: P `L OCl C . ti
Previous Business on this site J1IONLE
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: COVISI -141 ALC- -j VAICI iVeff,0S C) O Tb (.Q epri
IC0VY1QCW',/ V&V% !ji� to PVn✓.iIG ie-P y-eko7 (-P �
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*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. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signa Printed A4,+9,�4 L) . G1 LULA-,0U 1-'3
AP OVAL INFORMA ON
[ 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 �'i l Z) -t
/l
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
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