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HomeMy WebLinkAboutCLE200900164 Review Comments Zoning Clearance 2009-12-04- Application for Zoning Clearance - - -" 14, � 8 Zoning Clearance = $35 - OFFICE USE -ONLY -- Check # / 2 S/ Date: P- LEAREVIEW ALL 3 SHEETS Receipt # S( Staff: / PARCEL INFORMATION / n '% "3 PjQA4 Tax Map and Parcel: g G, Existing Zoning r- Parcel Owner: f �G Parcel Address v ° f %�"Cfty �rG�►'? ©h di _ -_ State / _ _ Zip 23236 (include suite or flo r PRIMARY CONTACT K �✓ CO "� "i E �'�" Who should we call/write concerning this project? Address _. 6i-7b 1/ Zp- a — Office Phone: V Z 59 .63 ?Cell #I It # 29� - X990 E-mail `1 APPLICANT INFORMATION Check any that apply: Change of ownership Change of use _ Change of name New business e dewso)\) 1y&PflEo&)c-7 Business Name/Type: < 11 Co ! Previous Business on this site MOf es Describe the proposed business including use, number of employe number of shifts, available paong spaces, number of vehicles, and any additional ' formation that you can provide: �h G,� Zd cr ec B, Go E icS *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 accurat to the best my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. -off ' -- J 61 `OL" .J,J 'E:-C"L Signature Printed APP INFORMATION ,R,6VAL [ 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 s�it�e' pl . U� l ms site complies with the site plan as of this date_ Notes: Building Official Date L =- Zoning Official A Date 5- 01 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