HomeMy WebLinkAboutCLE200900153 Review Comments Zoning Clearance 2009-09-24_pphcatio�for_Zo�un_Clearance
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,[Zoning Clearance. $35
OFFICE USE ONLY
Check# 9 Date: !� 0 Cl
PLEASEREVIEWALL 3 SHEETS`
Receipt #'1( =e'ila I Staff- fj AA rr'Y
PARCEL INFORMATION n ' } -
Tax Map and Parcel: 1 AA 't� ^ 1Jr' 6) J P C. L 1 � 0,- Existing Zonin Iat . miac .
arce Owner•Z�- r- ►I1�7�/V
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Parcel Address: 162- SPOTNAi' d s}eA-&ity C,• utl State V ft Zip 22C6
(include suite or floor)" 810 5J7
PRIMARY CONTACT
L 1
-Who- should- we- calUwrite- concerning_this- .project?_
Address: l q-5 City �� LA l r State VA_ Zip Z2�
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Office Phone: Cell # Fax # C((p -35 i C) E -mail V L CS M e 14?W1 L2 _
no 1
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name ✓ New business
Business Name/Type: i��V Vt In sg-t"( 1 L-JQ-
Previous Business on this site L Lt�l,�i 10c k �4�V'Wn�QSiW1�G�tIdB.��
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
1 c�—rJ
vehicles, and any additional information that you can provide: .lt
Zpa } 14 rA
*This earance will onTy be valid on the parcel for jvhich it is approved If you change, intensify or move the use to anew location, anew 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 acc a the st my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature -. _ � 21 Printed c- -K ✓h-PVl
AP OVAL INFORMATION
[VI 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
Zoning Official Date of*. Oq
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Other Official Date
County of Albemarle Department of t_:ommumty ueveiopment
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
Revised 04/28/08 Page 2 of 3