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HomeMy WebLinkAboutCLE200900158 Review Comments Zoning Clearance 2009-09-28-- - --- 1i1 V� AppYcton-= for-Zon -in === C- tar -anc == - - - _ 12 - - -ICE- #— —© 7 _. - - - - r OFFICE USE O L N l Y - Zoning Clearance - $35 _ PLEA REVIEW ALL 3 SHEETS Check # - Dater Receipt !�r510 Staff: PARCEL INFORMATION %� � �V Tax Map and Parcel: 61 � I t_J � Existing Zoning Parcel Owner: 1O L'kr Parcel Address: w)o e, k, 0 Ka U6, 1 ?�3City l.[•'�C� � �t1�'y i(I�' State VA Zip C Zgc) I (include suite or floor) PRIMARY CONTACT r 0. o Who - should- we- call/write- concerning- this -- project? -c� VLI -( -- -0 — - - -- - Address : t b f) &,C P- City &Cjki A9 State V A Zip I Office Phone: Cell #g3`1 %oS nZ5ax# E -mail (iz.�i0.q[,6 @Ckol,c n APPLICANT INFORMATION Check any that apply: of ownership Change of use Change of name New business ,Change Business Name /Type: Previous Business on this site �Q,%� i� TQ.1 t Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of ppal'�) vehicles, and any ad (itional information that you can provide: A 91V" i F E5 f S�ii� � ® v CAF S *This Clearance will only be valid on the parcel for which 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 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. A. , -7�1 Printed LAS 0, �J f 15' _ - Signature (� !'�Ji41 �&1a �PG's APPROVAL INFORMATION j] 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 cy Zoning Official Date 4/ ?:Sze Other Official Date County of Albemarle Department of Community iievelopment 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 Revised 04/28/08 Page 2 of 3