HomeMy WebLinkAboutCLE200900065 Review Comments Zoning Clearance 2009-05-06..... . ........................
Application i
- - - CLE #
Zoning Clearance = $35
- _ -- -- -------..------ -
PLEASE REVIEW ALL 3 SM
PARCEL INFORMATION
Tax Map and Parcel: e�i e 100
Parcel Owner: — — ii
Ac S -CA
Parcel Address: 6 S ( rC)
(include suite or floor)
PRIMARY CONTACT
Who should w ll/write concerning this proj
Address:
L
Office Phone: Cell #
APPLICANT INFORMATION
Check any that apply: Change of owi
Business Name /Type: _ E i� Wo_
Previous Business on this site
Describe the proposed business including use,
vehicles, and any additional information that
*This Clearance will only be valid on the parcel for w]
Clearance will be required.
I hereby certify that I own or have the owner's pe ss
is true and accurate to-the best of my knowled . I haN
Signature / f
� t
APP INFORMATION
Approved as proposed [
[ ] Backflow prevention device and/or current to
[ ] No physical site inspection has been done foi
site plan.
[ ] This site complies with the site plan as of thi
Notes:
Building Official c✓
Zoning Official kgovo
Other Official
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