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HomeMy WebLinkAboutCLE200700006 Legacy Document 2013-05-22Z K171, 00-LO-ZOOZ xppucanon iur Zoning Clearance Le � � " �1 oning Clearance = $35 0 �� a 1 PLEASE REVIEW ALL 3 S1 + ETS Q �� -- t� I dYl Tax map Parcel Owner: Parcel Address: .��i Il Q I�t''iFi i1 �O�L�U <�(fStsre Zip. (include Suite or floor) I Contact person (Who should we call/write concerning this project ?): Address ! I)Q�1— 7 )Daytimephone'C�) 1 02 -1 ]has# Bitsiness NnnmeiType:21) k -� a\Y'� V0641— F'7 a Previous Business on Ws site; � )n 11 (`NE 0 Proposed use: State zip SEE CONDITIONS OP APPROVAL IF THE CLEARANCE IS FORFIREWORK OR CHRISTMAS TREE SALES (Sheet 1) Circle (if applicable): Fireworks 1 Christmas Tree *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 he b �Yem rtify that Lown -mr ave the owner's permission to use the space indicated on this application. T also certify that the informtion rovidtrue a. accurate to a best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide b or A. ent Date Print Name APPROVAL INFORMATION [ ) Approved as proposed [,LKAp proved with conditions [ VfBackflow device and/or current test data needed for this site. Contact ACSA. 977-4511, x119. [ o physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing site plan. [ , Tk 4 ske cotpplies with the site. plan as of this date. e _ r Building Official Date i +Jf1 Zoning Official Dste i I �- Other Official Date FOR OFFICE USE ONLY cLE # 'Z ©O `7 - 0000 0 Fee Amount $-Z5, CO Date Paid l _5 -U-7 By who? LICKReceipt #LQ Ck# �� ► e 13y:�Y' — County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice;: (434) 296-5832 Fax: (434) 9724126 sn rc,6 riacn