HomeMy WebLinkAboutCLE200700062 Legacy Document 2013-07-10J I' Z LCL-�� N 31
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Tax map and parcel:
Parcel Owner: Si
Application for
Zoning Clearance
oning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS
-00-60-035X0
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Existing Zoning: Z--7--
I/V
Parcel Address: 1 5 1 g Vio / Q- WR- 7 City C y ( I 1 e- State V IAA1 Zip zZ r
(include suite or floor)
Contact Person (Who should we call /write concerning this project ?): cAr t. S [ i U
Address 5
S o cJA r t t7
qt Or,
_ City Kuc I /- ,&r,S
11 d 1 -2 V State
V
Zip ZZ "Z6
Daytime Phone d) 4 5-
0 -- 47- Z 4
Fax # 43
% J E -mail
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ail, (bLi
Business Name /Type: 1) I Cc J Ct-1^ a&, -� {& 6 a+L -Z 14 ' &' e, 4 •
Previous Business on this site: .5.1 -oiA e, "06R- 4-irow J-1' -S M Gyrb f e- L L- L
Proposed use: C Q;-e- 6-ra4^ 4 - CC91A�1ns47e4r 4-
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.
.,. -
S�ignature of Business O ner or Agent
Print Name
AVROVAL INFORMATION
[vJ Approved as proposed
41ackflow device and /or current test data needed for this site.
No physical site inspection has been done for this clearance.
[ ] This site complies with the site, plan as of this date.
Building Official
Zoning Official
Other Official
Date
Backflow Device and/or
] Approved with conditions
Contact ACSA 977 -4511, x 119
Contact ACSA 977 -4511, x119.
Therefore, it is not a determination of compliance with the existing site plan.
llz� r Date
i�
Date
FOR OFFICE USE ONLY CLE # ® ®7—(8J --
Fee Amount , Date Paid 3 -N -07 By who? ���Jpi r_ h Cn /'Dh r ig Receipt # �f V79 Ck# By:
ICJ
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 of4