HomeMy WebLinkAboutCLE200700071 Legacy Document 2013-07-10COMMUNITY DEVELOPMENTI Fax 4349724126 Mar 26 2007 02:54pm, P002 004
Application for Zoning Clearance
O)FFIC9 USE ONLY ZOO 7 /
g iug Clearance = $35 CLE #
PLEASE REVIEW ALL 3 SHEETS Check Date: -z- %
Receipt. #I start:
PARCEL INFORMATION
Tax Map and Parcel:
043CO. 00- 00 — /0 5 0
Exiowg Zonia 0e) Vn ry—)
Parcel Owner; 7d1 L L
Parcel Address: D,o el .� ..y . 1�%'L �9+ 0 t. Ci city C� -ktt v , Zip -> >r U I
_ in�cludesuite orfloor ------ ---- -- - ____ --
----- - - - -.- ----- - - - - --------------------------------------------- ---------- - ^ - - -- - - - --
APPLICANT INFORMATION
Who should we call/write concerning this project?—
Address •. J�,�_ iii C i !� V �% �: L . �u� City i/Y y v� U�� I Stat6 /" �t Zip u
Office Phone- ; .. t; I -)ILICell # Fax # ' .% (, �U 11E -mail 1 r ...:{; I �U�' �' t� �� ' �' �' 3 � 'T-•
- - - - - -- -- -------- ------ - - - -- --- - - - - -- - -------- - - - - -� ----------------------- - -.... _
PRI�ARX CONTACT '
EusinessName/Type: <�,Ci inX,a+n VZ� V-e /
Previous Business on this site:
Proposed use:
f
Circle (if applicable): )Fireworks / Christmas Tree
SEE CONDMONs OF APPROVAL IF THE CLEARANCE IS FOR FW. WORK OR CMUSTMAS TREE SALES (Sheet I)
*This Clearance will only be valid on ft parcel for which it is approved. If you_ charge, inknsify or move the use to a new location, a new Zoning
Clearance will be required.
I hereby cvtity deaf I own or have the owners permission to use the space indicated an this application. I also certify that the i6ormation provided is
true and accw'ate to the best of my knowledge- I have road, the conditions of apptgvai,. and I understand them, and
that I-•will abide by them.
Signature — l� °:•�° -" . • `' ° ftded_.� = f µ C . [ (�' �"� iv UJ
- APPROVAL INFORMATION ----------------- „- - - - - -- -------------------------------------------------------------- - -----
[ ] Approved as proposed [�A,pprovedwith conditions
[ v] No physical, site inspection )Gas been done for this clearance:.
site plan.
[ ] This Site comp).ies with the site plant as of this date.
Therefore, it is not a detennination of compliance with
Backnow Device and/or
Current Test Data Needed
Building Official
Date
d”
Zoning Official
Rate
d
Other Official
Date
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County of Albewarle Department o Community Development
Commun Development
401 Md atire Road Charlottesville, VA 22902 of
(434) 296 -5832 Fax: (434) 972 -4126