Loading...
HomeMy WebLinkAboutCLE200900184 Review Comments Zoning Clearance 2009-11-11-= - - - -- A - hcaton for Zon - C1= Baran -ce- - (� Zoning_ Clearance = $35 _ _ PLEASE REVIEW ALL 3 SHEETS OFFICE USE ONLY Check # _ t { 5_ 4 -Date: J jy Receipt # (p Z Staff: PARCEL INFORMATION Tax Map and Parcel: t Existing Zoning Parcel Owner: 11oi` cs Parcel Address: 1,,-(eo i' wvy�er!; Pkcefst~r:tga. City Cl,dr99i4esv:tte State VA Zip dIRiB (include suite or floor) PRIMARY CONTACT -- Who - should- we- call/write- concerning - this - project ? - - - - -V 4Q - „ - -= ;-- vA -K - ----- -- - - - - - -- - - -_ -- Address: &&0 oy4<5 ra t-1 s 5kce,, S °ea i©xZ City ('�, „wt�sv;7Gz State Zip Aytq Office Phone: ft3t1) ei-10 - 71979 Cell # 5i ?-312, .Z1f1GFax # E -mail race YLK Pelee4- raiuc.le� cQ LC APPLICANT INFORMATION Check any that apply: Change of ownership Change of use . Change of name )C New business Business Name /Type: 4!�_le c4 r-, \,Jc..d-e k C - Previous Business on this site 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: d-7 vV.F&, % a c.s 1 t P 12Y *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. ignature Printed e - -- - - Zo id as S a ,.. rk r API PROVAL INFORMATION Approved as proposed [ ] Approved with conditions [ ] Denied [ ] Baclflow prevention device and/or current test data needed for this site. Contact ACSA, 977 -4511, xl 19. [ ] 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 Date ((1 [t I Oct Zoning Official - Date j % b/ Other Official Date County of Albemarle Department of Uommu.mty Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 Revised 04/28/08 Page 2 of 3