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HomeMy WebLinkAboutCLE200900183 Review Comments Zoning Clearance 2009-10-22Application for Zonin -- Clearance - - -- °� -_ - - Zoning Clearance = $35 OFFICE USE ON Y Check # Date: PLEA E REVIEW ALL 3 SHEETS Receipt # ; -° Staff: LJ idU L4 PARCEL INFORMATION - Tax Map and Parcel: o,X (ViG ,n 3 f'Cirt e k arc©;- tf Existing Zoning )(Vl r e C1 ()SE __R=eLOwmej:j =ic a a ti%w_l_e C� Parcel Address: `1 Li 1 C�,y\rt\ v n City State VA Zip aq i (include suite or floor) PRIMARY CONTACT Pc Who should we call/write concerning this project? 0� ur_n 4-4r,5 1 - Q a A-cx Address: P0 & -x C�aDU City yncdl , "-)O On State V A Zip old %,-7 5ya° Office Phone: 'J`'ID 94% a33 Cell # Fax E -mail APPLICANT INFORMATION Check any that apply: Change,, of ownership Change of use Change of name _New business Business Name /Type: (,� tA 4. - C:,s r`��/6 S ill C, /� Cz Previous Business on this site )- O \ k 4 t o QCJ \/ i d eO S Describe the proposed business including use, number of emplo ees, number of shifts, available parking spaces, number of vehicles, and any additional information that you can provide: etc: \ r n ime -3. S - czces -- S'\1,4'1L°.. *This Clearance will only be valid on tYe parcel for which it is approved. If you change, inte sift' or move the use to a new location, a new Zoning Clearance will be required. I hereby certify tha or have the owner's permission to use the space indicated on this application. I also certify that the information provided is true and accupte to th best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature .. c a�i Printed AP OVAL INFORMATION [ 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 site plan. [ ] This site complies with the site plan as of this date. Notes: ' .Building Official c.Q-- QI ---� Date Zoning Official ` Date G b I -2,Oq 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 l