HomeMy WebLinkAboutCLE200700059 Legacy Document 2013-07-10Application for
Zoning Clearance
Eezoning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS
GIA,
Tax map and parcel: J Existing Zoning: 1�0
Parcel Owner: /V Q PC-,o (2 C�. S �Je �►' �C�
Parcel Address: `'l"•"1 )(V V)an I( -old- City ffi4 1 C -ad6f� State i � Zip
(include suite or floor)
Contact Person (Who should we call /write concerning this project ?): i'1 no- aLt-acti
IJ
Address a 3 , City o l State VQ Zip ��✓
Daytime Phone l��Zl 4-65-22-6Y Fax # �� E -mail claC a r�,Ccn ltng • ne+
Business Name /Type: n ee— zkai=
Previous Business on this site: �� �.IL
Proposed use:
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
ovided 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
p ride by them. .,
of Business
Print Name
Date
APPROVAL INFORMATION
[ ] Approved as proposed [ ] Approved with conditions
] Backflow device and /or current test data needed for this site. Contact ACSA 977 -4511, x119.
] No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing site plan.
] This site complies with the site plan as of this date.
Building Official Date
Zoning Official Date
Other Official Date
FOR OFFICE USE ONLY CLE # ZOO % -'
Fee Amount $36, oa Date Paid 3 — •`b By who? hhoi\► r i 1 f� Receipt it �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 of