HomeMy WebLinkAboutCLE200900179 Review Comments Zoning Clearance 2009-10-22A lcation -for Zonrn -- Clearance
- - CLE #�� --
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Zoning. Clearance = $35
OFFICE USE ONL
Check # X011 Date:
- _PLEAX REVIEW ALL 3 SHEETS -
Receipt # —71 n 0 0 3 Staff:
PARCEL INFORMATION
Tax Map and Parcel: Q 32 00 ' QQ — QQ " 031 A 1 Existing Zoning G — WTI LNm
P- creel- Owner -: — � -�-IU �- �'�-- L,6��+ --• _- .� -� - -� �w{— — - - � -� - -
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Parcel Address: 3 O Shen ko'I, 'r6QL S�i ilS City 't t V1A State A Zip 2211.
(include suite or floor) 108
PRIMARY CONTACT
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Who should me-call/write concerning this project ?_
Address : 921 O Ub H n dk 1�, V , City C " 4 State VA Zip 2
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Office Phone: O Cell # 3 Fax 8 it E -mail
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name /Type: B l g?Z 0 is S t / 13 t+(S S S L160 LA 1 �
Previous Business on this site SUM f M S ur r W CAAw wpa l A-a% S Ool
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: If 't �5) i -� �.(JI �n(j"S' o. PC Gi16 -A
*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 best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
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Signature S?7� v Printed
Off "Wit 3 -� YR u
OVA ORMATION
[ Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977 - 4511,,x117.
[ ] 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 JLQ Date.
Zoning Official Date ]�i� 2A nq
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, 10/13/09 Page 2 of 3