HomeMy WebLinkAboutCLE200900200 Review Comments No Submittal Type Selected 2009-12-04County 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
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Applicat o - fo Bonin earance
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,� Zoning Clearance = $35
Check # J�� Date:
PLEASE REVIEW ALL 3 SHEETS
Receipt # Staff: e 2
PARCEL INFORMATION / f/
Tax Ma and Parcel: -
Map Existing Zoning
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Parcel Owner: 1 10o� U( 1(%
Parcel Address: -03 City iV iCilU -t6 M2 State V A Zip 2-2-9 1
(include suite or floor)
PRIMARY CONTACT '^� ,�( �ii a Les] Who should we call/write concerning this project? V1 n � - V � � I1-i G son (7r Les] ie-- V Vout
Address. C �OSVl�1� State VA Zi ��
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Office Phone: 81 -7 -2-IND Cell # Fax �[ +914" 1%3� E -mail t l Cp-`nouyiEq
{ OAaei V) Pi t_tjL -P-S . WYV\.
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change New business
�of_�name
Business Name/Type: PW aG�11) P1 ctuyns, Inc. /&U-5"U- VYVY UC�` �Qvv
Previous Business on this site E y Fib c )s" I Y) C -
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
information 91rn
vehicles, and any additional that you can provide: FMCUACtiU-r, 0f- � V)QLW
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V2�'16c _ pcurlCenq Slice
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*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, anew Zoning
Clearance will be required.
I hereby certify that I own or have the owner's percussion to use the space indicated on this application. I also certify that the information provided
is true to the best of my knowledge. I have read the conditions of approval, and I understand them and that I will abide by them.
Sia a Printed LP51 it . � . l - -
APPROVAL INFORMATION
[j/] 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 Date I( ct (L °c
Zoning Official Date
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