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HomeMy WebLinkAboutCLE200700030 Legacy Document 2013-05-22Application for Zoning Clearance r�Nn Zoning Clearance = $35 PLEASE REVIEW ALL 3 SHEETS Tax map and parcel: 0 "32_ 0 D 4�0 — 00-03741 Existing Zoning: v�� �1 %�yJaW� comc-A Parcel Owner: 7- Parcel Address: G4 ,41lCity Ca-Raft.- rl LL t✓ State 'V fq Zip 22-A 0 (include suite or floor) Contact Person (Who should we call /write concerning this project ?): RAY/ CRAVIN0029. S bA-HI � Address !3_7j k1N �; 1 t_lIU,, 3V- City e—,q L_OripYP �Vlt�ate Zip ��9 Daytime Phone (� 4.7`3 -JS-?I- Fax # () E -mail tgpfm /`Jp- �_ 43 I z�Z 3 ©©1,lal Business Name /Type: /A46/4" /<<f= �' 7A�2L D =.V r /\ 02.4L /A/.b / AA1 �&.P -7 i4 Ufl_ ' :r Previous Business on this site: p 1?2A 13 E:=. L A 9- t -' 7RO Proposed use: /M t A -nt'%� SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1) Circle (if applicable): Fireworks / 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 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 of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. o2- -oZ_ o7 Signature of Business Ow e� r Agent Date 2C 0.11l /NID C %' S' I> Ai/ VA Print Name APPROVAL INFORMATION [ 'Approved as proposed [ ] Approved with conditions [ (i iackflow 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. [ ] This site complies with the site plan as of this date. 1. Building Official �- Date 'z- I l - l Zoning Official w Date 2 INOJ Other Official YvV Date FOR OFFIaNLY Fee Amount $ Date Paid C # , By who? -WIN Receipt #iLjQ�,/ -1 Ck #� _ By: 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 of4