HomeMy WebLinkAboutCLE200700041 Legacy Document 2013-05-28'l Application for Zoning Clearance
�RGIty1P
OFFICE US
/Zoning Clearance = $35 CLE #
PLEASE REVIEW ALL 3 SHEETS Check # Date: _
Receipt # Staff•
PARCEL INFORMATION
Tax Map and Parcel:
Existing Zoning
Parcel Owner: r 'V[�VV�'�/ �JI�SIVIe s PGt,t ° ;L1� UU.��I� (t1yt4_, 54y-n'i,� V z4-kUV-t!)
Parcel Address: 5e—✓VWL"kY City����� L�e—State y ZipLG
(include suite or floor)
- -------- - - - - -- - - - --------------------------------------------------------------------------------------------
APPLIC- ANT IN- - FORMATION �Pn��sd � ��� ����
Who should we call /write concerning this project? M �m i✓
Address : �r �N ' I1!y.� UU! I (1��., DVtV,(0 City i:,kiiADI i el'/Ci II.Atate 1/6L. Zip
Office Phone: �I'� ��(� �+% Cell #�t� () ^ ; Fax # '— E -mail C�� S) ��ll[ tD��'F' �c�Yr�
Dlt (Y1
---- - - - - -- -----Y --- --- CONTACT ---------------------------------------------------------------------------------------------------------------------------
PRIMAR��i _ I� �� , r�I r' `
Business Name /Type: �. A (' I• II'
,^ �ctu
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1)
*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 t �th best of my knoZZ& ead the conditi ns of approval, and I understand them, and that I will abide by them.
Signature % Printed Vio l � &YyLt-11 V\k� rcx
-------------------- - - - - -- -- ---------- - ------------- - - - - -- - ---------------------------------------------------
AROVAL INFORMATION
[ Approved as proposed [ ] Approved with conditions
[ vrl o physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing
site plan.
[ ] This. 0 complies with the site plan as of this date.
Building Official c Date Z�_ `1
Zoning Official Date d
Other Official Date
---------------- - - - - -- - - - - ---------------------------------------------------------------------------------------------------
County of Albemarle Department of Community Development
401. McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126