HomeMy WebLinkAboutCLE200900146 Review Comments Zoning Clearance 2009-10-28Application for Zoning Clearance
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PLEAZoning Clearance = $35
REVIEW ALL
- OFFICEUSE ONLY
Check # : () 'j62i000 Date:
Receipt # " i Staff:
3, SHEETS
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PARCEL INFORMATION
Tax Map and Parcel: DS- to00 -00- bo— II bb Existing Zoning
Parcel Owner: `j�,(1 j (Jliis ky-�v js�ZN S, t�i
Parcel- Address: j)y-jj _L�,. CityC jh %.Cgi1U State ZiP2-
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project?
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Address : "l�V - - -- - -- d - iV V
Office Phone: 63U ;j - ell # �7 Fax # 331Q '7-3-;
E -mail Sg1YQY\S Oil 1l'0.1f1(I
APPLICANT INFORMATION -�
Check any that apply: Change of ownership Change of use Change of name New business
Business Name /Type:
Previous Business this
on site
Describe the proposed business including use, number of employees, jiumber of shifts, available p rking spaces, number of
vehicles, and any additional information that you can provide: 1b 13 16 41 — 1 r'
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*This Clearance Ivill on Ty 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 ac e awJedae. I have read the conditions of approval and I understand them, and that I will abide by them.
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Signature - -- Printed
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 co plies with the site plan as of thiS,Ilate.
Notes: i i C-0 rr-V /i- A-ii .e t{{--
Building Official — P z _ - - - Date Olt ft`I,
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
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