HomeMy WebLinkAboutCLE201100041 Review Comments Zoning Clearance 2011-03-04- -FROM-:
FAX.-NO.
_........_.. _ ._ .. _... >. Feb: ... -17. 2011•- Q2:21PM....P3- '---
COMMUNITY DEYELOPMENT1 Fax 4349124126 Fob 16 2011 10:29ag P002/004
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g Clearance
ohtek 10s I rl x
7PLAS� IEViE�'ET ALL HET Check # __�� Aatet '
PARQW, kNA MMATIO N 1 N/9-
Tax Map and Parcolt,
`G{ -ft' 1 brf ety'�Yf$fiate. 1i �i
P'arce( A.ddxet$; �
�b r,- ...,... �p .�-._.
Occlude suite or floor}
� x :ARY CONTACT
Who should ►ve caUtWeite Mjaarrtlrtg Off
�,ciQxe3z; r __ /_ �pl� �(`�- l�f� • ���1��(�aGY� VI �fa�e.__._Y -- zip ,..UO .
Office Phone; (� Coll #„ .`y'"Vax f1 �� �- IataiT
Clxtt�ll n�. }' E�4� u � 'Cii�t 4 9� A'n'�9K9�t� �haAl a 4i NUa �.'b1al� a 4�'>upmu �'dtfi ifuDirlDDb
�U9lne9f�ta[ne!'Y'3'}�._ L`��"f• �C.E.��'.Y! - - - - - -� -
Prevtaw Du5ifte" aft this SIM
Aebcrlbe the PrOPOW badness 9nsiuding use, number of eMpjQ s, ttne ber df dluCts, s,+aat�Fyle tsx� 9pate& 1q x of
�'e}�lole8t $�d any ad�ItlO�,aT itrf'ur;��QA #Gstyou can tirOvAd2r �- ��x� 6'�.�'�'� r.r��t•,G' ; ,n r,�l�s r� �.�n,�,,,:
C16IM&e Will oyf y 1z6 Valid on tatparcel br %vhieh it is appmvcd• Ifyea Glsaage, iat8t181f}' OiA10V4 � USe w $ AcsW Ia d4u, a Aevr2eAA0y
Clearance Will be requirad.
haraby gethl'y 04 k om or have the 9LVners permission to �e �pece indicat=d oA his applica�vu. 1 ai54 cactj& Thal rl)e )nf( mration ptevideci
is'tt�ua ea4 xee�+llFs td ljte �p ,�# y 1v3awl��e. ��aun,�nd Iry vondidvnu v�a�prat�.pi, ur[d Itut��utaAtd shams, n� Ebna�lai� d� iYu thomt.
AP? OVAL INFORKATION v
t {rptdvs$ as t„ZNSt�d [ ) Awsvad wit.. wdJ;listte ) l ettiat{
( ) 8acktlow provention device andlor cturent test data needed for this site. ContaaAC9k 977 -4511, xi. i 7.
[ ] Na physical $Iry itlMp011011 has been dono fDT this clearance. Therrfnra, it is not a d0curdrtation of eompizaace with -tie existing
site pIan,
( ) 'This site compile$ with Tito gj(s plan as of#ftis crate.
Ypres:
onirrg 4�tsl bate
Other official ate
' Cauu,tyoi:,�lbacuuu BUepa, erttO !<Cvr�#ztunitYAovtilppx�fetfk
401 Me) t1ro ttaxot Chxrloetesvllto, VA, My Vokee: (A94) M-SM FIFE (aid) 972 -4126
Rovised VD701 I Pap 7. or3
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CflWAITY DEVEM •1 Fax 4949724128 Fab 18 2011 10,28am ROOM
Neke to complete the foRowing:
y ,r IN
la uss la ],I, I�LC at PAII' xo�irl ? I€'so, give appiidxat a Cr, ti fled
8MBI OWO Report (CYPL) packet
-Y I N
Itso, give oppiicant a Idan)tn .Deparimcnt form,
266irt w1w mmn not bs In unt 1 x1e Mel" tpproval from Health
orolo tho ono that applies
Is P&xdai on private well o puplic wa ' ?
Uprivata mil, provide Heni arttnent fozut.
Toning review can not begizt utitil wt receive appeoval from H62dth
Dapt. FAX DATE
Girole the one that zp�
99 atxGl on septic or c sew .
a:
Y i, N
WHL yov. be putting up a mare sign of army land? If se, obtain prgper
5iga,pertnit, .
Y IN
WIR titcra bo zay now voastruC.oil or realovatfona?
Ifso, obmitthe praperFdn -nit.
Permit #�
U10
'91 N
f erg, i,ist: J
y1
If so, ist;
,
AevJe'wpr to complete the foll/owl�ug: —
Squ.7xa faatege of Use: (/ '-/
Y)/ 1\
Nrmitted as: 1%U. e S7Q1 , �/A W✓_
Under Sootion:._ �_V _ :.._..:_•_:: _....... _> :.:.... ...:.:..
S'upple✓traentaYyiegulxtiorxs section:
parking tbmmn; LP 5,--
1LCquixGd spaces;
y/ r
Zte tq be verified In tbu taeld:
Inspector
Notes:
rxogers:
If 10
If so, List-,
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Revised 111/2.011 Fnr'3 of
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