HomeMy WebLinkAboutCLE200700039 Legacy Document 2013-05-28�4
Zoning Clearance pP
oning Clearance = e 35
PLEASE REVIEW ALL 3 S IEETS
Tax map and parcel: �7 �5 " ! rl� _ Existing Zoning: S G
Parcel Owner: ���.o / .S jr L
Parcel Address: •Syt) �i?�J r n/ City Gi/ Zlo t/! 11—A' Stake
(include suite er floor)
Contact Person (who should tiwe call /write eonceraipg this project?): f Y,, 0— y0
A Co 1-4t7X 9-5'3( 1h Z'1 -AIAW_ j
Address �lri /c/ �i�/ tl� /G City /. �/ Ui State Zip �l7.
.iT 3 7
Daytime Pboae c�e& aQG Fare# 17 -mail
O/' M4_, mWAt S
Business Name /Type:
Previous Business on this site:r
Proposed use: z?,—. L c'A /IYf`•ZC�, jt`i.F �Ofsail�Lt/S iN a
SEE COli'DI IONS OF I)PROVAL IF THE CY,EAR"CE IS FOR FIREN = /ORX OR CIMISTMAS TREE SALES (Sheet 1)
Y
Circle (if applicable ): Fireworks / Christrnas Tree
This Clearance will only be valid on the parcel for which ii 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 trae and accurate to the best of m knowledge: I hav read the conditions of approval, and I understand them, and that I will
abide by them. fa�f s /w ��o� G�nl T t. ,;v WAAW
Signature of Business wn.er r gent Date
Print Name
A ROV.AL INFORMATION :dr [Approved as proposed [ ]Approved with condi ions iRfiaCl�iIOW Device antv a'ckflory device and/or current test data needed for this site. Contact ACSA 9774511. x119. I urreut TTest Data Ned No physical site inspection has been done for this clearance. Therefore, it is not a deteunination of comp[ atic���41 7 - 45'1119 lgwk
[ „j This site complies yvi�h � e site plan as of this date.
Building Official _ _ c Date L1
Zoning official, Date 9 7 _
Other Official Date
FOR OFFICE USE ONLY CLE 9 Z00 7
Fee Amount $ 35, 0 0 bate Paid Z-/6'07 By who? sr)t ii 64170 Ckk By:
�C
±A LPL'
County of Albemarle Department of Corrlfnunity Development
401 McIntire )Road Clrarlrattes:-iile, VA 22902 Voice: (43t) 296 -5832 Fax: (434) 972 -4126 5 11 /06 Pate 2 of
VOO /ZOOd NSL!4 tOOZ SL qo� 9Zf•VZlMV xPJ UNINOIIA30 Ali innoo