HomeMy WebLinkAboutCLE201000009 Review Comments Zoning Clearance 2010-01-27Application for Zoning Caramc -
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Zoning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS
OFFICE USE ONLY
Check # /&j3 Date:
Receipt # 7 7 ((, 9& Staff:
PARCEL INFORMMATION
Tax Map and Parcel: a�D a �Q ' �(� i 2300 Existing Zoning
o Parcel Owner: l� V� 1 -e
- _ - - - -- --
n'- `' `'
Parcel Address: QT X11 �7ciyem City (;i1q�',p�'6V& State Y� Zip Xiol
(include suite Pr floor)
PRIMARY CONTACT
- Who - should -we- call /write - concerning- this- project? - - - -
Address: 00 F City GWIVSvi [IC State Zip3�
Office Phone: ' %�.Z3 Cell # "�U - 40 Fax # 977-1 q E -mail 0f.kj/fi MS& OOA ,`
APPLICANT INFORMATION
Check any that apply: V Change of ownership Change of usse Change of name New business
Business Name /Type: edf'%4 Ad
r-
Previous Business on this site 1 o IAlVIi� DO C:G
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, numbersf
vehicles, and any additional information that you can provide: 4 ern $5h�fa4
*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 o 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 t e best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed wenIGA C ,
i
AP OVAL INFORMATIONt
] Approved as proposed [ ] Approved with conditions [ ] Denied
[ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977 -4511, xl 17.
[ ] 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 _ /�-Llio
Zoning Official-- Date
Other Official ' 9 Date
County of Albemarle Department of Community veveiopment
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