HomeMy WebLinkAboutCLE200800187 ApplicationApplication for Zoning Clearance ��x.;.
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OFFICE USE ONLY � hn � N 1 g
�ning Clearance = $35 CLE # VV
Check # o0-_A cif, 1 Date: -<.)/-q o
PLEASE REVIEW ALL 3 SHEETS Receipt # '7,-2 o R 7 Staff: V "5
PARCEL INFORMATION
Tax Map and Parcel: 010100 -00- 00 - I 2 0 P O Existing Zoning
Parcel Owner:
Parcel Address:
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00 1 City r J� State a Zip
(include ........................... suite or floor
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APPLICANT INFORMATION
Who should we call/write concerning this project? a6-
Address:_lq``t't
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City '6L
til l-_ State VOL. ' Zip
22�
Office Phone: �) S� A 3 0� Cell # S.3/'
I( I D Fax #
E -mail
PROJECT INFORMATION
Business Name /Type: TlS�
Previous Business on this site: hl _s ! / 1
Proposed user v✓1 - 2S�cct�%.✓T /C� -/�i o o/t�r /U -�.c c) c�J/.1.4 t�
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 b of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed �Ieo_JL-i
----------------------------------- I ----------- j ------------------------------------------------------------------- 1— ------------------ --------
APPROVAL INFORMATION
( ) Approved as proposed
Approved with conditions
Building Official .� 1 _ Date
Zoning Official iLt3� GL�% ✓�, y Date
Other Official Date
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County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126