HomeMy WebLinkAboutCLE200900121 Review Comments No Submittal Type Selected 2009-08-27- -- Application for Zoning=- =1e =ar =orrice
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- - - - - Zoning Clearance— $35 -
OFFICE US O LY 8 r
Check # 1JW Date:
PLEASE REVIEW ALL 3 SHEETS
Receipt # -7CF (? Fib Staff:
PARCEL INFORMATION L.AA)
Tax Map and Parcel: / %hh� �� �Z- Existing Zoning-11y7 _I X6 Q
Parcel Owner: 10A) " ✓���
11058T W11� ZS�
AGO %� Z
Parcel Address: o'SGG! % City !i /�i / /�Sli [��' . Zip
(include suite or floor)
PRIMARY CONTACT n �J
-Who we calllwrite ?
sshould concerning this project
Address : 2512 1-06 j!!4 3/A) City State Zip.�231
Office Phone: ( W`5� 32411 # Fax # E-mail IQD`�-�DUfbD
APPLICANT_ INFORMATION
Check any that apply: Change of owne'rsshiip- Change of use Change of name New business
Business Name /Type: A� y AZO) �/ �i� �jdb
M 4A)11&A16-_1heAJ
Previous Business on this site
Describe including s c lab�� �� b es 1 f
-I �
/5 GY /
,vehicles, and anyaddit additional hat ouan provide:
5T /�U IUD 19/5 &J�-S A �,4&iRlc� ��s y3�it5 /N�55 !GG fi/ u' �lro E�
5 r rNO - -3 �?AsIZA--I G S OA 5 tf 54r�--
*This CleaAnce will only be valid on the parcel for wYieh it is proved. If you change, ntensify or move the use to a new location, a new Zoning
Clearance will be required.
I hereby certify that I own or ave 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 s owledge. I h read the conditions of approval, an I understand d that I will abide by them.
Signature Printed
APPROVAL INFORMATION
[ J�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
-o=
County of Albemarle Department 01 Uommumty Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
Revised 04/28/08 Page Z of 3
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