HomeMy WebLinkAboutCLE200700061 Legacy Document 2013-07-10Application
Zoning Clear
for `sl
ance
L1-'J Zoning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS
Tax map and parcel: (a / O O — 00 — 00 - 13 ) 0 (0 Existing Zoning: P O's (21
Parcel Owner: [ ry—) c7x-) l_ l Cf /
Parcel Address: ) 5 Cp / P_Z,�, R Cl F_ City CJ-\ V- Lt," " State vim' Zip
(include suite or floor) m
Contact Person (Who should we call /write concerning this project ?): IV1, t
Address _7S 4 C —� I n= i fl ���% City r��,V -£-E a S 1/1 I �� State �/_ Zip��
Daytime Phone LC4 f) Fax # L__) E -mail ef� y�l (t��� Cpl V14 e_- C) A-7
Business Name /Type: O CA- i/I 0 e J10 / S �C
Previous Business on this site: )
Proposed use: I'/
�` �/Sc,/�c`�i���z`f�•
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.
Signature of Business r Agent Date
/ate
(2 N A" I YeL e rg A.
Print Name
APPROVAL INFORMATION
[ Approved as proposed
[ ] Approved with conditions
[ ackflow device and /or current test data needed for this site. Contact ACSA 977 -4511, x1 19.
[Iy 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 Z, 3 0
Zoning Official Date 20 —
Other Official Date
FOR OFFICE USE ONLY 7''n j^� C + # P
Fee Amount $ Jr`,00 Date Paid 1� N • f By who? Receipt 4A) ! 41 Ck# DSI'1 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 oN