HomeMy WebLinkAboutCLE200700036 Legacy Document 2013-05-28Appucaiion for
Zoning Clearance
Zoning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS
Tax map and parcel: 0 ((p i r'Y)O -- 00-00-0 0,30C) Existing Zoning: ( n i y 1 Y i
Parcel Owner: M-t A L LC
Parcel Address: L(� 0 Pre irn i e r` C i + e city C hQ r6p(2sy r` (fit State yA_ Zip
(include suite or floor) St t 4c_ ).N. I ,�
rnntnr•t Prr.cnn (Who shnnld we call /write concerninn this nroiect ?): C_r4ujarCL R. � ro o S
Address Z63(3 O-A rdfer� Long City r- -,�,�S mor) — State VA Zip /2,
Daytime Phone Lj Fax # (_)
E -mail TbTpok3�6CCSrCoPrt
Business Name /Type: 5 i 1',z 13 us i ne6s Cr ! .v i Yl0�
Previous Business on this site:
Proposed use:
iplk 1
0
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.
Signature of Business Own jr or Agent Date
F7dwota P. BrooS
Print Name -- ---- --
`Backnow Device and/or
APRROVAL INFORMATION
[L4 Approved as proposed
[1�ackflow device and/or current test data needed for this site.
[ J No physical site inspection has been done for this clearance.
[ ] This site complies with the site plan as of this date.
Building Official
Zoning Official
Other Official
] Approved with
Contact ACSA 977 -4511, x 119
conditions
Contact ACSA 977 -4511, x119.
Therefore, it is not a determination of compliance with the existing site plan.
Date
Date
Date
FOR OFFICE USE ONLY CLE # 00
Fee Amount $ 3r3tC'Ct Date Paid _-Q -13 -0 By who? _ Receipt # Glti / , 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 or4