HomeMy WebLinkAboutCLE200800097 Legacy Document 2013-01-11Application f ®r
Zoning Clearance
X11 .11.Iy.
•m
=t�
a �ti
[Zoning Clearance = $35
OFFICE USE ONLY �,�
CLE # � _ i 7
PLEASE REVIEW ALL 3 SHEETS
Check # Z / Date: z . '- S -r–
Receipt # 7 & ' Z Staff:
PARCEL INFORMATION
5-7 oe
Tax Map and Parcel: 60 Existing Zoning
Parcel Owner: ��'[ t'° 2('1l"
'7 `� l�=(l ) cory,_� i ,g y/1 i / �_' State ��� Zip zz /1)J
Parcel Address: / .�[� � C- �' ��c'ty 1 ",�'� P
(include suite or floor)
PRIMARY CONTACT q/�
hae I Wo RSO C/ Q -7�t AleQW
Who should we call /write concerning this project? /V I C 1,
Address : a 13 a Tv c City arl State V1' Zip 9a3
/a2
Office Phone: t r� [) �6 ` 5106 Cell # ?8%- o27Ya Fax # `? 7 `� - / /$6 E -mail MOCLV /L— twsfap , Or C�/.
APPLICANT INFORMATIO _/
SC-IkdDI Me- Se-A00 /- Gro C4 12
BusinessName/Type: Et, t�b�Yl�S-�lJe(Tl�°�C�
Previous Business on this site Vl /q'
Describe the proposed business, including use, number of employees, number of shifts, available parking spaces and any
information that W-_ WoctId 'A have.o r seek'[ :K WL.S S - -l;z
additional you can provide: -+c,
ar�-'c; et Mmr_k4c, be e ;4 Ct sc_kool co 'f a U4he W s h 4%
' as %y4eder, %fterAeot see 0/c/1111- oa of c r r'
`eke. A/bemmr /e Cc. po%c-e A/1 be rrete-K -' oi�v'iv.�c �F{te
*This for it is If intensify or move the u e to a new location, a new Zoning
Clearance will only be valid on the parcel which a� proved. you change,
Clearance will be required. pcir,k % any_ i s fv to f'e�l'.
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 the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Printed��
Signature
f
APPROVAL INFORMATION
[ ] Approved as proposed [ Approved with conditions [ ] Denied
[ ] Backflow prevention device and /or current test data needed for this site. Contact ACSA, 977 -4511, x119.
[ ] 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 compl' s with the site p as f this. ate - n
pl V G� G4V
Notes (]^ C� (iiifii (QJ -- l
Building Official Date - – O
Zoning Official Date
Other Official V Date 1f F
Gt.w
County of Albemarle Department of Community Devdbpment
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
5/1/06 Page 2 of 3