HomeMy WebLinkAboutCLE200900176 Legacy Document 2012-10-11............
Application for Zoning Clearance
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CLE #
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OFFECEUSF ONLY
[Y7.oujn'- Clearme = $3,51 Clierk'4' l b Cl d Lw,
PLEASE RFV1 FW AIA , 3 SHEETS Receipt
1"A14*71• .I. INVORMATION
Mi.% Nbpand Parcel; Exi-dbjgzoning_YA •
Nrei-I Owner:
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Hirt. Stale P -2 -111 CIM
rl Arlitrm:
iinclude suite or flord)
PR I MARY CONTACT
Who should we cifflAvrHe concerning this projecr? 490�
Address: City fL-6-AtDT--Nj Mite VA zjrj
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APPLICANT INFORMA,rjON
Check any that apply, _Changu of ownership _Chai)acofuse -----Change ornam Mewhosiness
13cisine,p; Mme/I vile* QNTIEiL. 'F'A
Previous fill Sines on Lhi% site Z4/A
W-c-cribe the proposed UW411M Including use, number of enipllovee,;,number ofshiftq,availabiv parkiniZspam. number ul'
VChiA('.M, and any additional information thal you van provide: j � - —, r i t CN f P Adf'L-^I
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�'Thr- i " .......... vii 11 1, 11 ly h..: v I. I i (I on 1 lie :larc,! I kv W -1 i ell . L i:, appro-ved l" you ciluiq'w, in'e,-, i Fq or nic ve ilv�, iis uto a 11ILM Z01141L
CIL.arariv will by 1v[l-:ir0%1.
I .-.c-i-cL1y cc rh_Y that I inn or I iz,w Ii-c• o -tit, r,; to il-W il I. - 'i I! I LN'. i III I i(' I: I CC I I':n I It I, opplic4ition. I al:io catiry Uri{ I h� in fomicm:nn p roy-AVC1
11; U1j,' and aucumlc LL, HIC ,chi ol'rity 11aw rord ih:- I utich!namd thein. 111d .:ml. I willahiijo by thein.
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APPROVAL INFORMATION
Approved as proposwJ [ -- ppruvtd With ;;Lmdjt'.U[is L L)cnied
J tack Fit) kv prevention device and /occurrent WS I El.fi t 9 modird for rh ic, site.
[ J No physical site nsp+r�Lion has been clone (isr tLis .� ;1!a�r0rnc,:. '1'li�i41'or�, it is nrd � determination cif compliance •with the e.xistin;
site PI'm_
I •hk situ 4•IIJTIF'lits Wi�jl LhL Situ PIWI as Ufthis-11MC,
otes: 00 KM V, r
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Building Officim, -,A Date lot
Zionifig OlTriciall. Date lb
Odke• Official Date
.Uuni,y t4AIbcniarle Deliartimm irmutu unui,ity Development
401 Mcbritire Road ("barlattesvi[W., VA •Z902 Voir-e! (4.;4) 296_M 2 Fax: (434)972-4126
R v.ud 114'!'��VUU 2 of.-,
Intake to complete the folliewing:
HUN -inner to Complete the rollowing
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Square roola'- of Usc:
1 , I ' J , i l l ul PIMP i I I,",? give ;1;L' I iL;,Il It a CV1,J I led
FmojmiorS Rn[m)ri ((-'F-.R'i p.golutt
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17c'.V1. FAX DATE
Circkffic one tllat,p ie.4
Is parcel m pri �111 or public water?
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Ilnrkin-,� Ri-nmla:
It vvel:, ml� lealth D-rartrnent fonn.
/,animl ivviow can n•-.)-. lic-oin until we recciv� approval firor'.) Health
ReCLI":'ed spaces:
Oept- I- AX DA I E
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(Arck tile on�-� 11 ap
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parcel ml �,��tjdbr publk wiver?
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WitIvou be puttillig U12 -all 51 :1 of imly kind? I: so, obtain proper
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Inspeemr: Date;
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Nou-4:
will shore be iir.� i1cw-u-u—mar mlon or renovations?
I fso. obtain the proper I lerm i
Zoning to com
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to the followin
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