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HomeMy WebLinkAboutCLE200700070 Legacy Document 2013-07-10Applicati ®n f or Zoning Clearance® OFFICE USE ONLY _ Zoning Clearance = $35 CLE # zo0 i r PLEASE REVIEW ALL 3 SHEETS Check # q Lp`7 Date: 3-30­6­7 Receipt# /p�j!'x Staff: PARCEL INFORMATION Tax Map and Parcel: 6&W0 0o.-co.- D 5% 0 0 Existing Zoning Parcel Owner: 6A�_ C.� 0 Parcel Address: " -7C?9 City CENVLL' State 10(!�7C Zip279Z/ (include suite or floor)__________ -------------------------- - - - - -- -------------------------------------------- APPLICANT INFORMATION A.50C. ` Who should we call/write concerning this project? / ! �GIiJC,°il �� '' "A y,"� , i sv A0,01 Address : ,; % 3 2_, c5 X r,O owl City 10 A5--J `t- State `/4 Zip 7i O3 Office Phone: 3 d % _ S % Cell # �XVlFax # ift 9W• % 'q'OE-mail ILA STS 6'DYGj - -------------------------------------- - - - - -- ---------- - - - - -- ----------------- - -. - -- --------------------------------------------------------- PRIMARY CONTACT Business Name /Type: /�r!!�� 5 7'"✓ '� �� Previous Business on this site: IVA Proposed use- W{ W014 1o.1; Lt 4 /Avvy d r a,o AAti Gor!'in ) Circle (if applicable): Fireworks / Christmas Tree ) SEE CONDITIONS OF APPROVAL IF THE Zm &AWY,6 n . � / �7 W. pYf Sir v17 'd l 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 II /understand them,,, and that I will abide by them. Signature y2�1 L /�V Printed !' 1;441 A 'd/ �' y �'�i I7�l --------------------------------------------------------------------------------------------------------------------------------------- APPRO-- --- VA- L IN-- F-ORMATION ;.]°''Approved 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. Buildin Zoning Other Official Date Date b Date ------------------------------------------------------------------------------------------------------------------------------------------------ County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126