HomeMy WebLinkAboutCLE200900131 Review Comments Zoning Clearance 2009-08-18Application fort bonin�'Clearance
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[Zoning Clearance = $35
OFFICE USE 9NL °G.
Check # siv Date: V tf p(i
PLEASE REVIEW ALL 3 SHEETS
Receipt # '7(00'1 Staff: ( (,(,C W
PARCEL INFORMATION —` --
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Tax Map and Parcel: e, (� y" Existing Zoning 17P
— P- ar -cel- Owner: =1� .._rl[_ P50
Parcel Address: City State % Ziff-
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project?
�� Zip �31 `f
Address. ;`'` � �r--� �= 1+�,Ui 6'�i'i �t City �"\Q(��/'� d State �
Office Phone: Qq) Cell # Fax # E- mailh,),(JC4JA, 0 Qt.M I2
APPLICANT INFORMATION
Check any that apply: Change ownership Change of use Change of name New business
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Business Name /Type: 0 C 0 i lI CAV', _cvE--
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Previous Business on this site I
Describe the proposed business includin/gfuse, number of employees number of shifts, available parking spaces, number of
vehicles, and any add't'onal information✓that you can provide: N I 'w' �0 o y\ C Vi k e, glio&'
oz AA 1-4i[ V 6A-A_ $fir✓yl Ki =_ti -`i O'irt t-b2 ke—ikf C
*This Clearance will only be valid onafhe arc 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 If
I hereby certify that I own or have fh wner's permission to use the space indicated on this application. I also certify that the information provided
is true and accurate to the best of knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
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_Signature Printed % at'/ :Ptl_11k,_
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 site complies with the site plan as of this date.
Notes:
Building Official �— Date �1
Zoning Official ✓ i DateJT
Other Official Date
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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