HomeMy WebLinkAboutCLE200700048 Legacy Document 2013-05-28Application for
Zoning Clearance
Zoning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS
Tax map and parcel: 02 1>- 0) _()� �06 Existing Zoning:
Parcel Owner: Bi-ye �ou1`12rP_ 'S rkSOGi.a-j row
02� pF ALg��,
��RCIN�P
Parcel Address: 23?7U t"P' MfYIdii NFALZ %Q 5, e,70 city CIA /oT j�SVI LLC State [L4 Zip 9R%O/
(include suite or floor)
Contact Person (Who should we call /write concerning this project ?):
Address 21,`30 rz7n1i 1' 1%)W6A 1_.7 1J 2 City Z N, IOI TGS (/ /LLE State J�k Zip ��
Daytime Phone � C `% g - Fs(95_,�Z Fax # L_)
E -mail hr k]CL be . br
Business Name /Type: I M (ALL/ T'i t=9 (' /n95Sf}
Previous Business on this site: 1C5'
Proposed use: e- ,:57 L=. o !CG c, 1-,F-45-6 r(/ 6i=
v
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.
_ -,;'g - `g-� 2-7
Signature of Business wn o Agent Date ,
Print Name
APPROVAL INFORMATION $ac�flov� De��i�e„,,.
[ I Approved as proposed [ ] Approved with conditions
Current Test- Data Needed,
[ [ kflow device and /or current test data needed for this site. Contact ACSA 977 -4511, x119. Contact ACSA 977 -4511, x 119
[physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance witri ti-le-TR—is ing srte
[ ] This site complies with the site plan as of this date.
Building Official c Date .1 '1
Zoning Official Date _ b-7-
Other Official Date
FOR OFFI S�/ l NLY CLE #
Fee Amount $�J Vl/ Date Paid
OAP MY41 DW7MA By who. Receipt #`Ck #I�� 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 of