HomeMy WebLinkAboutCLE200700021 Legacy Document 2013-05-22nr,r
Application for.�4
Zoning Clearances.
OFFICE USE ONLY
Zoning Clearance = $35 CLE # -2-00-7— ?_/
PLEASE REVIEW ALL 3 SHEETS Check# Q f Ste' Date: 1- -2
Receipt # 1 Staff. ;a�2�
PARCEL INFORMATION
Tax Map and Parcel: IM/-{ 4/513 1 p4fe iv' Existing Zoning H t
Parcel Owner: I\ i VfirS ��R ��p u LL-e-
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�� State yl '
Z 7,2-f-01
Parcel Address 3" S L'rn t ny c- C 'IT-/h L City ( kxl a ip
(include
suite or floor)
2tYUS�Gl.r �I-� --
PRIMARY CONTACT
Who should we call /write concerning this project? S �2 4 /� t h r m L e -4r.
Address: 503 5u t A5-7 S City Celt �,r State VA-- Zip 7,z,0-0-)
Office Phone: 3y ?VY -1 131 Cell # q;Y401 -190 Fax # i3y- V3-7377 E -mail S )n LG�wn rti.�GL� ri
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APPLICANT INFORMATION
Business Name /Type: P K6 94,d A C^ _r02 P/✓ii 1e S
' ert�#- r�rq-Rier'i`
Previous Business on this site ANA 0,R A ,2-
Describe the proposed business, including use, number of employees, number of shifts, available parking spaces and any
additional information that you can provide: btpvtr�A -Z % 3 o 4-o ,;30 m 64- - P` � . 7 % 3o fi 31 DO -:;+T _ j f�
*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. - S ,� v.,4 6/1 Tlt 1 N
N _ _ /� a_
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 hue and accurate t hu best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed 14,- 1.��C1""^
APPROVAL INFORMATION
proved as proposed [ ] Approved with conditions [ ] Denied
[� ckflow prevention device and /or current test data needed for this site. Contact ACSA, 977 -4511, x119.
[ c physical site inspection has been done for this clearance. Therefore, it is not a de , inat i caf.�Aaaanlia.,�� ..x ith th . P 'ng
Site plan. Backtlow Device and/or
[ ] This site complies with the site plan as of this date. Current Test Data Needed
Notes:
Building Official
Zoning Official
Other Official
Date i
Date 8
Date
County of Albemarle Department of Community Development. ,
401 McIntire; Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
5/1/06 Page 2 of 3