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HomeMy WebLinkAboutCLE200900193 Review Comments Zoning Clearance 2009-11-11- App icat on for Zon n Clearance„ - -C-LE-#- Zoning Clearance = $35 - OFFICE USE QNLY 06 Check #© Date: � ' Staff: PLEAS VIEW ALL 3 SHEETS Receipf #— PARCEL INFORMATION v � � � � � ,5(-o Tax Map and Parcel: Existing Zoning - Parcel Owrier:('r/� %fJ`-�I�/ -ode - Parcel Address: S QL hiked N)V+A� P., city C rd ze - State V Yn ►1 t d� Zip 2Z�i32 (include suite or floor) PRIMARY CONTACT �; Ple-kiCV Who should we call/write concerning this project? awt Address yoes -liver "f't.eQ city ClGr6lkslttk State Zip SD Office Phone: O LILGIZ -76 Cell # 43ggaqZ9 Fax # 4MZ323n E -mail e!!y44l Leorn APPLICANT INFORMATION Check any that apply: Change of owners``hipp� Change of use Change of name New business Business Name /Type: C �� r'pZj4 we� Cat' zz 5>trpty Previous Business on this site -r Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of Sak SCC f 6ZA i o4e 1,e-- Z E vehicles, and any additional information that you can ovide: o o J *This Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to anew location, anew 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 e best of my kno dge. I have read the conditions of approval, and I understand them, and that I will abide by them. - _ - ........._ - Srgnature - _- - 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, xi-i+. I t -- [ ] 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 O i Zoning Official __ Date J J (I l Oct Other Official Date County of Albemarle Department of Community vevelopment 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 Revised 04/28/08 Page 2 of 3