Loading...
HomeMy WebLinkAboutCLE200900196 Review Comments Zoning Clearance 2009-12-01Applcat-on- for -Z -off - Clearance Zoning Clearance = $35 OFFICE USE ONLY Check # IF 'V-3iQ Date: - - PLEASE REVIEW ALL `3- SHEETS - Receipt # 71 �— Staff: V-r4 PARCEL INFORMATION Tax Map and Parc e�lr:� ©Sf A- Z� —acl'C — 6;JO33 Existing Zoning WO \^-�]t+ Parcel Address: S'7�1 1-tl �e i�Ja cc ti City (See -u%T State VA Zip 7 Z 3 � (include suite or floor) PRIMARY CONTACT r Who should we call/write concerning this project? inia Address: a f, "' ° -`4'� j �,3 c� City Gri + �-Z State V� Zip 7-`1 I ����� �6 `i3k4- 9 (.�.. Office Phone: 1 l % `° Cell # q �C 6' Fax # E -mail W' A l-7 2S A L ig v on NZ L C-. 0 P-j APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business Business Name /Type: 13 a 4 .3 k-,-; ,lj � AcrA ii L c A , kr°v j L i�a :i A c;.tc Sc av Cs -A 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: V-�.4 o LS 0A _ \firs l G := C4& Ct'Ax hS 1& r , *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 to the bes of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. i, Signature ._ - � ~ Printed 1Cz S G K7 WA',.-r -V'A APPROVAL INFORMATION [ Approved as proposed [ ] Approved with conditions [ ] Denied Backflow device data for this Contact ACSA, 977 x1-39: 11 q ] prevention and/or current test needed site. -4511, [ ] 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 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 Page 2 of 3