HomeMy WebLinkAboutCLE200900110 Review Comments Zoning Clearance 2009-08-19Application for Zone Cl_e_arance .� --
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OFFICE US• ONLY 7 p
- - -- Cl Check # - G 2q Y Date:
Zoning earance = $35 -
PLEASE REVIEW ALL 3 SHEETS Receipt # 6cf7 5/5 Staff:
PARCEL INFORMATION Existing lOMrrl. Kok YOGI rSC�
Tax Map and Parcel: ,QJ�(i� ®� °OD "d 9�1�C� g Zonin g
Parcel Owner: C W JU / A /� J o i F&. _ _' - -
Parcel Address: ��%� �/U WM� C7-A, City ehWZ0Tre5✓ /44�C State V,4 Zip';U1
(include suite or floor) Su/Tr E'--Z
PRIMARY CONTACT
-Who .' dwnne call/write conc11ernin'g -/this - project? F-FT n�y �K[T0
s 2Jb� W 5`l � Sl City [ ,4p,67 khi- State �L ZiP7�1!_T
Office Phone: (%) oo�' Cell # 7 "7�� �JrY ax # �/l �' �' 7 -mail'�'� a,0
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APPLICANT INFORMATION
Check any that apply: Change of owner --ship Change of use Change of name 1� New business
Business Name /Type: /�1,/�' &w4 ctut (��7yEn. r� L r l U¢]-IJQ E
Previous Business on this site
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: &V n_N . Qjl��
*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 t I own r have the owner's permission to use the space indicated on this application. I also certify that the information provided
is true and acc to the b t of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature - _ Printed -- D
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 sit complies m w� t� s� plan as of this date.
Notes
Building Official - Date�ti
Zoning Official Date
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (43 Revised 04628/08 Page 2 of 3