HomeMy WebLinkAboutCLE200900150 Review Comments Zoning Clearance 2009-09-18_Appleaton for Zo_ng_C1e_vjr_ance
[Zoning Clearance = $35
OFFICE USE ONLY
Check # „/, ✓ Date: 0 . "'1
-7(D3
- - PLEASE- REVIEW ALL 3 SHEETS
Receipt #- �5 Staff:
PARCEL INFORMATION
Tax Map and Parcel: U 61 ma —c®_ ®B C' o`' Existing Zoning 10 G
/" p
-Parcel-Owner. 1
Parcel Address: J 000 J 0 p9de'5 kJaztocity. Ch a— �� X 1/11/1& State VA Zip )3'70'%
(include suite or floor)
i�
PRIMARY CONTACT Wih
Who should we call/write concerning this project? / L'l[oi) J
Address /State Zip 1
Office Phone: l " 3�) t� `�3 i Cell # 1 /Fax # E -mail
GOB ra(;�a
APPLICANT INFO _ TION
Check any that apply. ✓ Change of,6wnership Change of use Changje� of name New business
Business Name /Type: ��` 1 LtG �J�✓ �^ �Sd,� f✓ ,
f J/ C
Previous Business on this site
Describe the proposed business including use, number of employees, number of shi ts, available parking spaces, number of
vehicles, and any additional information that you can provide: $�'Q Ft'e aml Se,// o/,1S
*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 ..c -6 (Nil - - - - -- - Printed- -
APfPROVAL 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 c mplies Tith the s'te plan s of phis date.
Notes 1
Building Official R . e °'�-P Date ('a
Zoning Official Date
Other Official Date
County of Albemarle Department of community _ueveiopmemi
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
Revised 04/28/08 Page 2 of 3