HomeMy WebLinkAboutCLE201000013 Review Comments Zoning Clearance 2010-02-08Application for Zoning Clearance
CLE # G MO - l -3
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Zoning Clearance = $35
OFFICE USE ONLY
Check # ; T Date: L-
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PLEAS REVIEW ALL 3 SHEETS
Receipt #,7 1-13LP Staff:
PARCEL INFORMAT``IO A 1%
Existing Zoning
Tax Map and Parcel:
Parcel Owner: C- C&En t)r eel I 1 C
Parcel Address: I ll J9 6 Fe-e.A '6 f � e r FL City f6d uK-v State K Zip 4'
(include suite or floor)
PRIMARY CONTACT
Who should we call /write�co�njcerning this project? Gttj�'�J�-
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Jq � � �� r � CC't 10'rt�S U ]lam State VA Zip �) &1 f
Address: City
Office Phone: �a - t(11 Q Cell # 4_3q-8as 75Q Fax # E -mail � UCtct,mprc C 4: C. Cc,",
APPLICANT INFORMATION
Check any that apply: Change of ownership of use Change of name New business
(Change
Business Name /Type: ��' � � rt ', G � 7� 5 � = � 4 c o � C %� G��T �i c �' �• � � d ""C' P
Previous Business on this site A\j, e_f _e �'� 1✓L . S °�
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: 3 �.�aL�cy��s �3'�1'�`) -S�
*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 permis 'on to, use the space indicated on this application. I also certify that the information provided
is true and accurate to th es t of my kno led a . I ve d the conditions of approval, and I understand them, and that I will abide by them.
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Signature Printed War ,-C�
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APP AL INFORMATION
proved 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 411 t,
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