HomeMy WebLinkAboutCLE200800209 Legacy Document 2013-03-18Application for Zoning Clearance ';k..n;.
��RGlhl'
OFFICE S + N t
ezoning Clearance = $35 CLE #
Check # Date: r—
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel:. O MO, oo ' Cb 6ob oo Existing Zoning
Parcel Owner: , -P) S 13 �O•r�►� �,��'y
Y� l
Parcel Address:_ _ 31$0 /�F11.t0 �rlc�V_e_J_7� • City /�,�stt)iCflG State � Zip _____(include suite or floo_
APPLICANT INFORMATION
Who should we call/write concerning this project?
Address
Office Phone:
PROJECT INFORMATION
Business Name/Type:
Previous Busi
Proposed use:
�1&d •353
---------------------------- - - - - --
ness on this site: Y19
10 �
State �01 Zip
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 be t of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature L__'ndCLn Printed 6
APPROVAL INFORMATION
Approved as proposed ( ) Approved with conditions
Building Official" p
Zoning Official
Other Official
Date / o y
Date f ,-dVV `
Date
------------------------------------------------------------------------------------------------------------------------------------------------
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126