HomeMy WebLinkAboutCLE201100125 Review Comments Zoning Clearance 2011-07-0807/06/2011 10:49 4349783687 HOLLYMEAD ELEMENTARY PAGE 01/02
Application pli,catiton for Zonxn Clearance
PLEASE REVIEW ALL 3 SHEETS
OP'FTCE USE ONLY
Check #
Receipt #
Date: �f '
Staff:
PARCEL MORMATION
Tax .Map swna :parcel: V 6 A XII - 0 "1 d 0 - p d 11 ® Existing
Parcel Owner. (�1 K I d e wd �7
Parcel Address: OC y C ),4. r �a�7 5
(include suite or fl or)
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PRIMARY CONTACT
Who should we call/write concerning this project? rr, , le C dl 6�o I-,,a L•
Address: 16 6 -3 v4, r C• 5 S el, City (h Stm
Office Pbone: `� �lCell # _ Cl � a ' � � SFax N U -x
' ` r,
I e Zip
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,!0."LICANT INFORMATION
Check any that apply: _•Change of'ownjership Change otuse i
angeof. name l+iew business
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Business Name/Type: 912 �LJ �` M Ana f 1' -
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Previous flusinic," on this site j9 A ?� LPL '1 ✓)
)Describe the proposed business Including use, number of employees, number of shifts
vehicles, and any additional m U CAD Provide.
do
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a va ilable parking spaces, number Q1'
-
'This lomnoc will ordy be valid m thc,Pnrcel for whin it is If you chan , intensify or r6yve
Clearance will be.required. Gt v /rl O7 cz C 0
have the i i n u c the space indicated on this licrci
I hereby certify that I own or ha h owmcl's pertn Ps o to s sp app
is sue and accurate to the best of may knowledgo. T bAve Tend the conditions of approval, and I undersun
Signature printedc ^ �. C
the use to a anew Voicsv6r, a new Z(ming
. 1 also certify that Ne in�an dcd
d them, and that 1 will abide by them.
O
APPROVAL INFORMATION
[ ] Approved as proposed [ ] Approved with conditions
[ ] BarIctlow prevention device and /or cual-ent test data needed for this site. Contact ACSA
[ ] No physical site inspection has been done for tbis clearance_ Therefore, it is snot a d
site plan.
[ ] This site complies with the site plan as of this date.
Notes=
[ J Denied
77 -4511, xl 17.
i 'nation of compliance with the existing
Building Official Date
Zoning Official JDatc
Other Official Date
County of Albemarle Department of Community DvMopment
401 McIntire Road Charlottesville, VA, 22902 Voice: (434) 296�58 3 z Fax, (434) 97741M
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