HomeMy WebLinkAboutCLE200700067 Legacy Document 2013-07-10A "plication for Zoning Clearance
OFFICE USE ONL'.
/Zoning C-learance - $35 CLE #
PLEASE RE i +`W ALL 3 SHEETS Check 4
Receipt #
PARCEL INFORMATION
Tax Map and parcel: 0 -3. 2-- 0__ 961— 61,0 '-0 % Av� ctiras
Parcel Owner:
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Parcel Address; 41 '7 y l'0
include suite or floor
Who sbol
Address
Office Ph
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ng
14W
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1r,
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✓ State �
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PRIl -` --- --�-----`-� --`--------------- ---�---- -- .- � `- ;-- `--t-7-�--7-i--/-� --
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CDVTACT ----------
f � / \ 1 Etsiuess Name/Type.-
Previous Business on this site: it Alm ` N Cr 514
Proposed use:
Circle (if applicable): pF! irewor s / Christmas Tree
Zip
2! Gam- -1—Ar���;
SEE CONDITIONS OF .APPROVAL IF TIM CLEARANCE IS FOP, FMWORK OR CMSTMAS TREE SALES (Sheet I
X/_0
*This Clearance will only be valid on the parcel for which it is approved- If you change, intensify ormove the use to a new location, a new gi oning
Clmrance will be required,
i
I hereby GGrtify that J o,w" or have er's permission to use the space indicated on this application- I also certify that the infomnstion piovidcd is
true and =Urate to the b of owledge- I have read the conditions of approval, and I understand them, and th I will abide
Signature Printed l 7 ' l l /
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,APPROVAL M ORMATION
[ Approved as proposed [ ] Approved with conditions
C 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 data.
Building Official --�r� Date �1
Zoning Official Date
Other Official bate
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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 i
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