HomeMy WebLinkAboutCLE200700078 Legacy Document 2013-07-10Patriot Commercial Contractors, Inc.
Daniel agner i
Superintendent VC C-+u b V
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6802 Paragon Place Cell
Suite 110 804- 288 -3006 Office
Richmond, VA 23230 804- 288 -3066 Fax
PARCEL, INFORMATION
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[CE USE ONLY
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# 10 14 1 Date:
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Tax Map and Parcel: G •7 g Gd - U 0-00 0 TO Existing Zoning pomo-
Parcel Owner: a �1y 4 � 5,
Parcel Address: 660 E Y P SA c 33rD City C�►gw hb44 ; y,� 1 �� State V k Zip '2aj I
(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project? Mike C�erry t rl W K I
Address: 60 PJ P Su 4r- 3330 City O-AAr Intl Cs Vr I fir State VA Zip �2 L
Office Phone: 6L3 ) Ayy -4120-7 Cell # Fax #'/ 3y X13- 92/ ZE -mail JWH egIt1 j 4 WSk 1 io pr'i 4i t.
APPLICANT INFORMATION
Business Name/Type: P r k 0 1A,r 1
Previous Business on this site y%56yy,C
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Describd. the proposed business, including use, number of employees, number of shifts, available parking spaces and any
additiodal informatioq that you can provide: des_ ��_��► �n�c ►,;,crr e� + mow 1� r�rdc��r -I-c . �c' A.�
*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/Iunderstand them, and that I will abide by them.
Signature / "� Printed_ A% GhC G C C r/1► e w S �c'
APPROVAL INFORMATION
[ ] AWroved as proposed [ Lj /Approved with conditions [ ] Denied
[ Backflow prevention device and/or current test data needed for this site.. Contact ACSA, 977 -4511, x119.
Pe ito physical site inspection has been done for this clearance. Therefore'it is not a determination of compliance with the existing
plan.
[ ] This site cggMplies with the site plan as of this date. � n
Notes: Lein-- a inn IYAAAI
Building Official Date l 1
Zoning Official Date ACE)
Other Official Date
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
511106 Page 2 of 3
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