HomeMy WebLinkAboutCLE200900007 Legacy Document 2012-08-22PRIMARY CONTACT .�
Who should we call /write concerning this project. �LXx►' 1 �}�
Address: �Y� I dwA ?rOb k -f.... City I r 1+co Zip
Office Phone: Jf Cell #a05 5 a� axe# E -mail _ � � Ckj 0
APPLICANT INFORMATION I
Business Name /Type: b� F-1 &1.-Ib Ttj A)
Previous Business on this site _ !A Br
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Describe the proposed business including use, number of employees number of shifts, available parking spaces, number of
vehicles, and any additio al information that you can provide: B wd iza 5 ew_'Q1 oa- r_ `a
S t,(rf �2S
*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 ie best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
/� Signature / Printed /�—' L � �4
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 Page 2 of 3