HomeMy WebLinkAboutCLE200900145 Legacy Document 2012-10-0110/05/2009 12:52
CONAUNIT DEVELOPMENTI Fax 4349724126
#2840 P.003/003
Oct 5 2009 11:29am P003/003
Fax from : 434972 126
t.:oitn(' Ol Ataeen Je JVepartment of `.urnruuaary VV.�r4VJA4UvUL
401 XcIntire )(toad Charlott Me, VA, 22902 Voice, (134) 296 -5832 )Sax; (434) 972 -4126
9evised 04/28/08 Page 2 of 3
' 1B/e5/89 11:31 1'g: 3
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Application for
ning Clearance
�
CLE
IPLJE
Zooing Clearance = 535
REVdE`d'� A.L)L 3 SHEETS
OFFICE USE ONLY ,
Chock !1 U
iieceipt 4 staff: J / 141*11'.✓
PARCEL INFORMATION
Tau M-Ap and
arcel: ,r
® Existing 7,0nirtg hle�ti�
Parcel Owner;
t Y
f
L LX__
�d 'RQ A 4m�
—c'ityckalf /O,5jwit Stets Zip '417-1
Parcelslddress
(i ftclude suite or flour)
PRIMARY CONTACT
Who should we
call/write concerning thib project?
q'
C;ty ki ns �fiX1- �l /.1s1[Stato �_ zip
3�.���a3
7 V; apt # L E -mail Sot1VL V%rP b 0z And .1
I
Address : i 10
Office )(°hone_
i
cc
APIPIL IC,A N
DiFORM A.TION
Clieck any the
r apply. Change of ownership
Chan a of use Chaste a of name _-New business
Business Nate
]Previous Rusin
Type-,
so on this si _*U-/
T �.�O' ' (`•
• "`
Doscribe the pr
oposed business including use, number
of gmpto ees, ;au ber of shifto, available arking spaces, number of
vehicles, and a
y additional information that you a
pro*lda; "
*Thus Clearance
11 only be valid on dic pvvcl for wbich it is
apptpved, If you change, intensify or move a USC to a new location, a nee Zoning
Clearanco will be
required.
I herr'by cer* th
is true and accutat
it 10 amo tho wvnees pernivsion to it
a h
a the :space indicated on this application. i also certify that the inforaii600 p vvided
e caijditions of approval, and I understand tl� and that I will abide by tbrm- i
Signa
Printed
APP
INFORMATION
[ Approved
[ j Back iow p
[ No physical
proposed [ ] A
evention device and/or current test data
site inspection has been done for this cl
ve i with conditions [ J Derded i
needed fvr this site. Conmct?►•CSA, 977 -4511, x119.
mmcc, Therefore, it is not a determination of compliance with the existing
site plan.
[ ] This sits coi
aplies with the Site plan as of this date.
I
I
Notes•
buil"g Offs
ial
Data ��Ct
Zoning official.
Date
I
Other Offficia
Date Lo 5 —
Fax from : 434972 126
t.:oitn(' Ol Ataeen Je JVepartment of `.urnruuaary VV.�r4VJA4UvUL
401 XcIntire )(toad Charlott Me, VA, 22902 Voice, (134) 296 -5832 )Sax; (434) 972 -4126
9evised 04/28/08 Page 2 of 3
' 1B/e5/89 11:31 1'g: 3
f
+l`