HomeMy WebLinkAboutCLE200900171 Review Comments Zoning Clearance 2009-10-12- - Application for Zoning Clearance
CLE# °'90 f71 --
Zoning Clearance = $35
OFFICE USE ONI
Check # W _ Dater
PLEA- REVIEW ALL 3 SHEETS
Receipt # —7UU1.g 3 Staff:
PARCEL INFORMATION -
Tax Map Parcel: Existing Zoning y�
and
Parcel Owner: f 6t'1 Y 6 La_ d 1 rs..5t
�arc�Address a (� Ca �rarnesn i �� Lei �� r Ci Y 1 r� if.? s State
ty � VC, —zip
o li.
(include suite or floor) S; j
PRIMARY CONTACT
Who should we call/write concerning this project? A, e-li o r c) A - LCA. 9 v_e
Address: 3-i 0 City State Va, Zip A 99b i
Office Phone: C41:3q'),, 3 —(p lU) Cell# -,3i5 549°- 'ga1T+ax# a� 3 -lay goo E -mail y 1 GAYu- e. o?-'a.C?-Y17 -an> net
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name ✓ New business
BusinessName/Type: t :R L''9ca.r-d A • �.e�i�az� - �n.�rarb�( � Tn5LWZ nc� �lc�nn'�ri�.
Previous Business on this site
the proposed business including use, number of employees, number of shifts, available parking spaces, number of
lDescribe
vehicles, and any additional information that you can provide: __7- t)&.v o nc_e. 7- : C n ug.—r n�V s
9 ' f
*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 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.
Printed iq
R
t_- %a r
AP OVAL INFORMATION
[ JyApproved 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 sit c plies with the site plan as of this date.
Notes•
Building Official Date i 0
Zoning Official Date 1 d
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 3