HomeMy WebLinkAboutCLE200900137 Review Comments Zoning Clearance 2009-09-18_Application fo Aonin Clearance
_��
8
CLE # = -�— - - --
- - - - --
AEMEW Clearance = $35
OFFICE USE ONI.,Y !% j /
Check # 3-70-3 Date: � /�"F `e
PLE ALL 3 SHEETS
Receipt # 60 31 Staff: Inz '
PARCEL INFORMATION n - /�
R 0 n — a�
Tax Map and Parcel: C� ! �� , - (�f� L&Existing ZoninL 1A
Parcel Owner: I Q? S oi,Pj' -i T 01u a 11,�
Parcel Address: 10 ?°) CJ . alrl'j (3i�S ll�l ��i� City C State Zip2? —qf I
(include suite or floor)
PRIMARY CONTACT
Who this
should we call/write concerning project?
- Address i/1C� City �r� l l State C Zip22 r
n Mr
Office Phone: d `f) 9 '7' 1 -60 Cell # Fax # E -mail
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name /Type: /Cllr -1 W l kF ` 7 . V" 1 \ �- AD.-L > � S EU a-. y
Previous Business on this site _Mw _ ^ J %i, L9/L_
Describe the business includingJe,
proposed number of employees, number of shifts, available parking sp ces, number of
vehicles, additional information that
and any you can provide: .7— . 0 /.L_
VL 1 tf_ �a— — : %
V 1` A EZ jA O�
*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 -- Printedd
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:
12 — ( awal i evi-et 9 g -O 9
Building Official Date
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
till k
COP"