HomeMy WebLinkAboutCLE200900208 Review Comments Zoning Clearance 2009-12-07- Application or oning�earance
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XZoning Clearance = $35
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Check # G1 �tQ Date:
PLEASE REVIEW ALL 3 SHEETS
Receipt # `7 ] c75I Staff:
PARCEL INFORMATION
Tax Map and Parcel: O co l -W - D Z = w 1 — 007 - o a/uN iT Z ti 1LflG Wt 9l Existing Zoning
Parcel Owner: REo, P1. 9Ruu A,a e � � 6�SE 1k . W I L. kt N 5
Parcel Address: l4 < 5k60µ p Ln is , - ewrl Zk - -City-GN Ar��a"tt -fcS u t i.L£ State Jh Zip ZZ�I a t
(include suite or floor)
PRIMARY CONTACT
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Who should we call/write concerning this project? HzhNUS �} h 3 *- <
Address SS5 gosEiLtaNT OR City State y R zip ZZgo3
6€flee Phone: (k *61 $g 1"0l " Cell # 757 6 u1 --S7 azFax # E -mail
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
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Business Name/Type: a 0 + 'A-# SM S) -e 0 Llr � �t 2A.1
Previous Business on this site K5 o V -o Lu R >E
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: L kw PtcIA o"t L_ y i Sw- oN r %'T Cr-
.
t'ao 4>UrT0 -s S --RyrV �N' P( seA, C* s a uC_ L,LLof, r opf- «t'F
*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.
Signature
AP OVAL INFORMATION
[ VfApproved 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 J, Date a
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