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HomeMy WebLinkAboutCLE200800177 Legacy Document 2013-02-19A pp lication for Zoning Clearance utnmi OFFICE USE ONLY �p ✓ �� Zoning Clearance = $35 CLE # 0O Check # Date: C! PLEASE REVIEW ALL 3 SHEETS Receipt # -720 L Gf Staff: PARCEL INFORMATION // / Tax Map and Parcel: 06 too - 00 ^ 6 a ' ! oLy sting Zoning / Parcel Owner: A'h/,k L. LC Parcel Address:_ 9 755 R/v &—B-s'% cCty Cb/M4olr J VL66e 0 Zip 6 (include suite or floor) _ -------------- - - - - -- ------------------------------- - -------------------------------------------------- - - - - -- APPLICANT INFORMATION Who should we call/write concerning this project? .1 E1yf✓l -7'L (i ✓a/C'Kl��'1 /Tl" Address: /1 iO CRY % C' 7/ City 4f LCJ� LIX46te V,q Zip D--)- %CK Office Phone: s' !7( �) a-23.. W- 44}Gell # Fax # E -mail = 7 �z T7N6 PROJECT INFORM4TION Business Name /Type: Previous Business on this site: ff0 Mir Proposed use: ©�� i C, V/ (I rys., U5 C 'e J)k- /.v 7 ,-,e SE's vZ c6' Circle (if applicable): Fireworks / Christmas Tree SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet3) *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 the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature Panted K'dh -fhb --------------------- ----------------------------------------------------------------------------------------------- - --------------------- - - - - -- AOVAL INFORMATION ( Approved as proposed ( ) Approved with conditions Building Official Date Zoning Official UARA Date g Other Official Date ------------------------------------------------------------------------------------------------------------------------------------------------ County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126