HomeMy WebLinkAboutCLE200700054 Legacy Document 2013-07-10Albemarle County Department of Community Development
Fee of $35.00 File #:
Application for Check# �`�a %�J Date: 3-2 °0%
Zoning Clearance Recept# Staff: /z94L7
Tax Map /Parcel: , 141 — � L — — e2,
° Parcel Owner: I�/ � Aemllll
Q. ,o Address �( ci�/yI�/��G %�L City: State 1//� Zip
(Include suite or floor)
Existing Zoning:
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Who should we call /write concerning this project?
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.0 Address /J c� GAY /� /V� OI" /l /G city /� State Y4 Zip
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/�l35�3� 7 Cell: ��3 7
a o Office Phone: ��A
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Fax: qM ?'11,1— E -mail: kow rCW r. CD�i
Business Name/Type: 9126a/U
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`0 Previous Business on this site:
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Proposed use:
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^• r'F �• ^�� ^�. -- FlreworkS / rhristmas '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 .— '�—_, Printed
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(0� pproved as prop - osed ( ) Approved with conditions
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Building Official
Zoning Official
Date
Date 127 �