HomeMy WebLinkAboutCLE200900099 Review Comments Zoning Clearance 2009-07-08- T � c„uVM41lV UVIJAL MCUL m Lommumry Levetopment
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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OFFICE USE ONLY
Zoning Clearance = $35 Check 9 3 Date:
PLEASE REVIEW ALL 3 SHEETS Receipt #
W5f K. Staff: ?�rzJ: „rte
PARCEL INFORMATION � � r �� ' � � � J
Tax Map and Parcel: '► f'” /
Existing Zoning
Parcel - Own_ex:_� \'�.,_ s -
Parcel Address: 5 5 D City C, �, lh� VC State VA Zip ? ?(S(
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? "At-(
Address City_' Vy State Zip
Office Phone: �Z `2. --5061 Cell #Cy,S 4 $f3iorax # E -mail
•
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 L11-- �\
Describe the proposed business including use, number of employees, number of shifts, available parkin spaces, number of
vehicles, and any additional information that you can provide: � , i� �, 42 p
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t
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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 her y 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 a and accur e to the best of my owledae. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signatur Printed M 4 r (' i S
APPR VAL INFORMATION
Approved as proposed [ itdata pproved with conditions [ ] Denied
[ ] Backflow prevention device and/or current t 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 comp ies with the site as of this date.
Notes: s /o 4
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t rf . � -ini- 2-- 5
Building Official Date "
Zoning Official Date (�(
Other Official D to
P!� r06 rS l 6UN bips
- T � c„uVM41lV UVIJAL MCUL m Lommumry Levetopment
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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