HomeMy WebLinkAboutCLE200700009 Legacy Document 2013-05-22Application for
Zoning Clearance
` OH ALL
y Y
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
2
EA
OFFICE USE ONLY
[Zoning Clearance = $35
CLE # Z-00-7- 9
PLEASE REVIEW ALL 3 SHEETS
Check # 519 9 Date:
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel: -'r;aX M4P ::R0 M I PA•2.CSL M Existing Zoning Pub
Parcel Owner: f?_O► 1AL P -C,7 C.•Ae-mi?.
Satre
Parcel Address: 1201 EribLt" 2tGKg City ChAe_LanE--sVlt_LEState VA Zip 22 102,
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? �LLI E C,44��_If2—
Address: S,4"t,_� AeS City State Zip
Office Phone: (u3c}) zzo Z551 Cell # Fax #220 2553 E -mail u� ell�nrrr? - f�Et ►G �. LCo
APPLICANT INFORMATION
Business Name /Type: •�.t r '�'r��E ve 1G6Ll, PI.0 � �►.1G+I y93eOj UG -Ao---i+
Previous Business on this site Ups WS A LASE n/ M ► L17t Ufa
Describe the proposed business, including use, number of employees, number of shifts, available parking spaces and any
additional information that you can provide: i_- waf L4 V-i 2+--1 -r yA -+err _ -. S>hIPT' F0AH
we 4A.4 ye '_ Tort. t_ _-T�M>✓ t:1- -1 �JLD`1 DES -� 4-
A La'fl 4,PW=J:�X --3- 1�?A RA61 L1G -EpACES
*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 ofmy'knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature 2Q L 1 t n� l.kJ� Printed 1.1 -lam L' •4 C�E (�
APPROVAL INFORMATION
[ VfApproved as proposed [ ] Approved with conditions [ ] Denied
[V,f 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 Ian.
[ [IThis site complies with the site plan as of this date.
Notes: P.tiv ,J -Zow�
Building Official Date t i r-I (---I
Zoning Official j Date I
Other Official 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
2
EA