HomeMy WebLinkAboutCLE200900117 Review Comments Zoning Clearance 2009-08-19Application for Zoning_ Clearance -
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OFFICE USE ONLY
Zoning Clearance = $35 C
Check # r
PLEA REVIEW ALL 3 SHEETS R
Receipt # -7 c"L Staff:
PARCEL INFORMATION
Tax Map and Parcel: 0 q.S C 0,03 O +S Q C� Existing Zoning
Parcel Address: 900 C d 4 L N C _ - 1 u $ GLV6 City C i V 1 L L i= State A
- Zip a�
(include suite or floor) w j *Tcr 6'
PRIMARY CONTACT
Who should we call/write concerning this project?
Address : 53 c C: ARACl✓: Luz City 2(XK- eP,SVI Ile State '1%- Zip �F6
Office Phone: U 87a -G0? 0Cell # &q9,- j398 Fax # E -mail SAND G'S POS 13-0 33 (�D
PL] ANT INFORMATION
Che ny that apply: Change of ownership Change of use Change of name New business
&UM I
Business Name /Type: &
Previous Business on this site St 4Q Qom. 417- ��Q; !� I�® QQ
Describe the proposed business including use, number of employe y� number of shifts, available parking spaces, number of
vehicles, and any additional information that you can provide: �y� -"�� �) �, j 0 ?-V - iVi—E � 4WU7- �/
C= P� 42
*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 be t f my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature. Printed_ __=/.1
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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