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HomeMy WebLinkAboutCLE201000069 Review Comments Zoning Clearance 2010-04-22Ap-plication for Zo =in _ _ Clearance - — J4 CLE #It �RGIN« Zoning Clearance = OFFICE US. ''M/ $35 ---- Cec7z# Date: PLEAS VIEW ALL 3 SHEETS Receipt # Staff: i� PARCEL INFORMATION Tax Map and Parcel: �(Li Existing Zoning r4k2? Ye)erlp L - Parcel- Owner: Parcel Address: `7 � {% S City hkayiAl- State YA Zipaa (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? Address : _ % � ilY%�QS7"�/J/� &lUff City restE " State �� Zip a � Q✓ � Office Phone: Cell #1 o 3,2 y4 - 9717Fax # E -mail X05 ( C if APPLICANT INFORMATION Check any that apply: Change of ownership Change-of use Change of name /New business Business Name /Type:] Previous Business on this site"/ ✓f /j ©�� ®_ 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: t QP_W C)C1!-, 4 e-5 Cl ' 0 o ern — -7 . oc> f? ^n � `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 r have the owner's permission to use the space indicated on this application. I also certify that the infonnation provided is true and accurat o est of knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature Printed z C3 c ling K. i A Q24 AP PR AL INFORMATION [ ] A ved 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 `f � S a.O Zoning Official Date 422b 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