HomeMy WebLinkAboutCLE201100087 Review Comments Zoning Clearance 2011-06-08Application for Zoning Clearance
�Y -
J� `�'�`f
n
CLE # �dt 1 -8 1
�� ��;z �-
��
� �trc:in�rr
PLEASE REVIEW ALL 3 SHEETS
OFFICE USE ONLY
Check # 93gy Date:
Receipt # 9A 3Q Staff: v't 5
PARCEL INFORMATION
Tax Map and Parcel: Q'7 0 0 - oo -- ou - on Existing Zoning
Parcel Owner:
Parcel Address: a L L �lu'�'�br°1 C-h-- City 0,-V,, /L, State VC_ Zip M P
(include suite or floor)
PRIMARY CONTACT nn
Who should we call /write concerning this project? ✓, SLC
j
Address : `1 (,� (c-v,,2 6,4 l �� City 16 } L., vk- State lac. Zip )-,7 -q4
Office Phone: L_) Cell # 01W- 97,�,L Fax # E -mail
APPLICANT INFORMATION
Check any that apply: Change of ownership Change of use Change of name New business
Business Name /Type: V-- P_LN*rIC s
Previous Business on this site 0 L_� �--
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:
*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 accZte est of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Punted ✓1� Ste—'
APPROVAL INFORMATION
[ ] Approved as proposed �,s TApproved 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 _j J
Zoning Official // n Date /�( /
Other Official Date 6�zo
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
Revised 1/1/2011 Page 2 of 3
�1
c
` �-j C
7 3
v