HomeMy WebLinkAboutCLE201000018 Review Comments Zoning Clearance 2010-02-19County 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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Application for Zoning - C_lcarance
CLE # &
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Zoning Clearance = $35
OFFICE USE ONLY
Check # ! Date: '7 '
-1-1
PLEA E RE�?IEW ALL 3 SHEETS
Receipt # 5 U Staff: r ,SR,1 . 1
PARCEL INFORMATIONy`c�-
Tax Map and Parcel: IA q 2 Existing Zoning
- arcel-Owner —S"� ��}e... { %Ct - —� eaaM(' _ - C- 5
Parcel Address: 1 �a� G e In , . jdYl'If,3 City Ct�Qr �p�� $ t!f!� State V,� Zip
(include suite or floor)
PRIMARY CONTACT
—
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Vho- should- we_ call /-write_ concern?ng_this..project? c�4trCI�tN =\ q@,$�/►Q�� - - -- _
Address: 14,7 Tv , Me- r C:+ - City Cv/ //e State VX Zip 'V
Office Phone: Cell #.!y c1 -b_506 Fax # E- mail _ l a .4p
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name L--New business
Business NamelType: i-.eSCA 1 Vt o C.P
Previous Business on this site $
Describe the proposed business including use, number of employees, num er of shifts, available parking spaces, number of
vehicles, and any additional information that ou can provide: CoAyxi
-7eVVA z� 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 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 Printed - % CI
APP VAL INFORMATION
[ 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 Ofcial Date 11 (to
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
1