HomeMy WebLinkAboutCLE200900166 Review Comments Zoning Clearance 2010-07-19- - - - ----�§
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hk O 1 -I r Z "In g-Clearance-
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glearance—$35-- - -- - - - - -- Check # - -- -- Date: ��% `D ` ��� W ALL 3 SHEETS Receipt # Staff: d ��!� ✓�
PARCEL INFORnA-1I"IN ) y j)
/ �- �,A Existing Zoning
Tax Map and Parcel: to
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:-ParceLOwner: 1.,vJ /� %
Parcel Address: ��D 1 (y9 SR°w'�� � City l_ '".1AY1./�c�Wf�State V A . Zip
(include!kuite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project ? - ' t7 t-�rr JJ � �
Q J R o X -I (o City ICS -ro ICX— State
Address Zip
Office Phone: ( ) d Cell #� i " aq Fax # E -mail
APPLICANT INFORMATION >G New business
Check any that apply: Change of ownership Change of use Change of name
Business Name/Type:
Previous Business on this site
Describe the proposed business cluding use, number of employees, number of shifts, avail le parking spaces, n�t/ of
vehicles, and any additional information that you can provide: q �� E Nl
*This Clearance will only be valid oa e 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 pyn or have th owner's permission to use the space indicated on this application- I also certifytth information provided
is true and accurate bes owledge. I have read the conditions of approval, and I understand them, aro
Signature :'`
Printed
APYROV INFO RMA ON Denied
[ Approved as proposed [ . ] Approved with conditions [ ]
[ ] Bacld7ow prevention device ': dlor current test data needed for this site. Contact ACSA, 977 -4511, x119.
[ ] No physical site inspection h t been done for this clearance. Therefore, it is not a determination of compliance with the existing
site plan.
[ ] This site complies with the si plan as of this date.
Notes-
Date
Building Official
Date
Zoning Official
Date
Other Official
County of Albemarle Department of Community Development
401 MCI Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (43R �sed 04ti/28/08 Page 2 of 3