HomeMy WebLinkAboutCLE200900162 Review Comments Zoning Clearance 2009-10-02- Aplicafion for onin Clearance
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CLE # -_0�'
El Zoning Clearance = $35
ONLY
Check # /f Dater '
PLEASE REVIEW, ALL 3 SHEETS
Receipt # 5 Staff.
PARCEL INFORMATION C�� L ��' C-71-
Tax Ma and Parcel: rily MA A & ' 6 1 Existing Zoning �-
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Parcel Owner: AlPemarle, COyn iy
Parcel Address: /01? Cr(W -_ A YeA ye, - City - CY0Z6;i- State V14 Zip
(include suite or floor)
PRIMARY CONTACTlryl���,
Who should we call/write concerning this project? 6q, 5/iadm an Fl-e, *5
Address City ,K107"kS11i1k State V,4 Zip 2; CiP-
Office Phone: ( a' ) v '/� Cell # Fax #17-2 IJ 2,6 E- mail
APPLICANT INFORMATION
Check any that apply: Change of�ownership Chan ge of use Change of name -k--1 New
°business
Business Name/Type: 4 h ,�9 ine
Previous Business on this site a/d er- Sch oo
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
vehicles, and any additional information that you can provide: O 5A. iy6, of ..5'hgo%
t� b✓ N % .f'IC°l�� i�T14.' •�C.€.A !' d %ebi s°.?% I'.rr/i✓� A�� .��'i'�4 eek - &e hay,, %'°(�iL °f' ` . 6'%'� bw �� � 1 /o 1
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*This Clearance will only be valid on the parcel for which it is approved. ff you change, intensify or move the use to a new location, a new Zoning
Clearance will be required. ✓ /� /pi e%li�A a °Y'L' S 'fe 'e_ , ��" ��
� ed 0# h� aa'en t �t`���e� �1� �"� Znd C' - , te>� � /��sj��� tlr� 7 paark, r'��iyl� its -02eA ,,:
I here owner's
y certify that own or have the permiss on 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.
Si ature Printed yV✓077 _ A-
APPROVAL INFORMATION
[ ] Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow prevention device and/or current test data needed for this site: Contact ACSA, 9774511, 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: 4,yW D O J a"-rl r�✓t 5 r 5P o C'1- r . m a,)C `�Gi_��
S 5 0 k/ 2-71' � 5
Building Official �— Date J
Zoning Official Date ! 101
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 9724126
Devised 04/28/08 Page 2 of 3