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HomeMy WebLinkAboutCLE200900136 Review Comments Zoning Clearance 2009-09-01Application for Zoni Clearance CLE # _.- XZoning Clearance =S35 - OFFICE USE O Y Check # Date: C) f "I U _e ' Staff: J U;TW PLRA REVIEW ALL 3 SHEETS Receipt # PARCEL INFORMATION - j - - -_ - Tax Map and Parcel: J Existing Zoning -� ;#"� a✓ ''l �� ty L� "' � %�T I`sS& e VIT Zip z)--2_!?° Parcel Address: ® � 0 Ci (include suite or floor) PRIMARY CONTACT _ ��� %` ✓ �� Who should we call/write concerning this project? - - -- -- ------ - - - - -- - - -- - Address 6lu 6T �l City State y/f - Zip�Ro I ocl 3 W5-- 5-b/C Cell # 7.? 4Z5- -)-V %iFax # E -mail Office Phone: ( o APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business Business Name/Type: N7C: p� R L S C= �G° A`� KTAI PA 7C ft Previous Business on this site -17011 I--% r Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of — %L1 PUM I- WA:ttrAl 57RAk 6 vehicles, and any additional information that you can provide: b 6V E-9 S - Pl'z- 6FS e7 U tf az S 1 5/1LES; _ -r A -E' -a FA PLO 6715r- s i+z/�z ja-- 4- STS, ter- pvq /,rW° G *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 best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. -Signature, - - -- - 's - Printed YO 5� &-f- /-I(-- /f �✓i e - OVA 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 �n Mp4es with the site plan as of this date. `�, Notes: � t't o C,�2 AV, !r�- gjLI , {'+�tu/�I G�Ltti� l "6`Q� � C S +M y q,,'— Building Official Date I_ X Zoning Official Date 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 �LLV 1 TAK