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HomeMy WebLinkAboutCLE200700064 Legacy Document 2013-07-10�OF AZ,� Application for Zoning Clearance Uo�� �RGII�I OFFICE USE ONLY ❑ Zoning Clearance = $35 CLE # PLEASE REVIEW ALL 3 SHEETS Check # I Lo Date: Receipt # Staff: PARCEL INFORMATION Tax Map and Parcel: " '� I':�p _ _ _ - _ _ Existing Zoning I Parcel Owner: W h o p ,B a oo k Cwf i tyb S L4,G Parcel Address: IOU 1100 9f2PQ00V- (r, rSu. R3 b City CikAj &W,A[ 50U,�State Zip 22 (include suite_9r floor)______ ------------------- - - - - -- ------------------------------------------------------------------------------------- APPLICANT INFORMATION rr Who should we call /write concerning this project? vJQtJ' �At-[ OS Address: 69-0 1AW17bQ0Q I�- PQV ,Slim b City State VA Zip 22.101 Office Phone: (Aj4) 115- 28j9, Cell # '531 -;O t g Fax # 1 3` E -mail 1 u0(9 1�qm*e) k55- &t44 -es ,core ------------------------------------------------------------------------------------------------------------------------------------------------ PRIMARY CONTACT Business Name /Type: Sj A1914 17 ASSomb �_ -_�-SStle A' &Lito!. 'z &A—INAM -WS, Previous Business on this site: L/�i%t4'�, N[0 DF,yi/u? I i4 A Pal iI)ad 0�- S.,PP Proposed use: ©r'f`i (/Fi Ste, X912 orf-&AJPhA 0 C4� �1 �SLNSi, S 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 best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature Printed - -- - -- - - - -- - - - -- -- -- -- - - - - -- - -- - - - - -- -----------------/'Approved - - - -- ---------------------------------------------------------- APPROVAL INFORMATION - [^ ] Approved as proposed [ with conditi ns BaCkflow Device and/or rre t Test Data Needed [ �ploanp hysic al site inspection has been done for this clearance. Therefore, it is not a dete � eArn- ,�i341hk noti g si a . [ ] T4i, site - complies with the site plan„as of #his date, Building Official Zoning Official Other Official Date Date�� Date - - - - --------------------------------------------------------------------------------------------------- County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126