HomeMy WebLinkAboutCLE200700063 Legacy Document 2013-07-10Application for Zoning Clearance
OFFICE USE ONLY
r�lzoning Clearance = $35 CLE # 7_00-
PLEASE REVIEW ALL 3 SHEETS Check # _::�
Receipt # to 15C9
PARCEL INFORMATION
Tax Map and Parcel:
Parcel Owner:
Parcel Address:
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Date • 3 --Z 0 —6 77
Staff: t7�
Existing Zoning . PID / J ,1\.
City �' It( t `,3 State
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Zip Z Z % i•i
__ ___ (include suite or floor)____________________ __
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APPLICANT INFORMATION
Who should we call /write concerning this project? /71 4,E `
Address : la ,S City Ctl-o 2 State Y,/17 Zip Z 3
Office Phone: CYJ1 _3 23 7 2 3 /Cell # <J'(v 2 9 5 eXax # 9711 `T'f f z E -mail ors �T , ,;
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PRIMARY CONTACT F
Business Name /Type: /1,1 4e r e %2
Previous Business on this site:
Proposed use:
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1)
*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 bmy knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed t1l 19a k_ -S�. > i�jT/ :-JS) &'Z
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VAL INFORMATION
[/, ved as proposed [ ] Approved with conditions
[ ] 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 -a-C. 01
Zoning Official Date '2J7I
Other Official
Date
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County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126