HomeMy WebLinkAboutCLE200900062 Review Comments Zoning Clearance 2009-06-24Application for Zonin - Clearance
-CLE #
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OFFICE EON - - -- - -
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Date:
Zoning Clearance = $35
PLEASk REVIEW ALL 3 SHEETS
Check # JC1
Receipt # .7 22 Staff: J 1--y (ire,
PARCEL INFORMATION } -
Tax Map and Parcel: 7� "J7 Existing Zoning f , �-
Parcel Owner:
Parcel Address: — �% Pc°� d �(S �- -- - - - -- City— eiNA9 -t0 Lju(4 State Zip
(include suite or floor)
PRIMARY CONTACT
(70 T
Who should we call /write concerning this project?
Address : f� >U -- - _ City �e'�% State V/7
�� Gitj 1� ��l ZCell # �W 9 1''7 Fax # 91 f '-mail Phone: ( ) gj'1i s t=� a%� 1/; �►`��c�i
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name =i New business
Business Name/Type: A V � I ! 4 �fJVWU9� 1 1P-b1;aT10A1,-,
/� ,
Previous Business on this site SAAC A1) 1/17- a-A -7t7)
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:
*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 o knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
In
Signature ! . /i -�d _. . ?� Printed' "ice
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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
U01IIIty OI AiDemarle Depananenl VI %-.Uiiiu►wxiLy a.'cvcauya ■, —
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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