HomeMy WebLinkAboutCLE201300150 Legacy Document 2013-07-15s.
COMMUNITY DEVELOPMENT1 Fax 4349724126 Jul 12 2013 08;56am P002/004
Aphpfication for Zo-min Clearance
CLE 9
OFVXCE tiSE
Ck # ' 9 Date;
"If, 1z bec 70- f A i k) m Y"I/j
k
Existing Zonin
P11d PRrce;:
a
its tte zip
(111clude suite or floor)
r:z,- cmicerning this pro t.? OC-k%
A -drt�ss (:2 Cf I-6e 6( state L/ r-4- -V
.1 city
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Fax
k-e
Office
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F-01--leck al "v Chan&
r11fiIC ^�- ;�;:en, ' 1 +, i'.; V7 o F-e-A
of ownershi
Change of use
&V f I -/ —
e of :tame New busjoess
JNSde_1&Vey':c
otj
D",Cribe the iiij,�Judjng use, number of employees, Rumber of shifts, available parRing Vacep, number of
'de- vf�--&e- — ;-0 -e,,- ,a
M1,' 0 p all 'a h, r . I l
tuad 'n"V add mation0laffou can prov,
. ...... chazige, intensif� or move the t'5-- to a ne- locatior, Zne I �Zonini
choartu."c-c wili o in tk-�• percel i,J1, w:1t,-h. !-. k approved. Ifyou
application. I also rertify that lihe information provided
!h.j' j IW 0 Wnel'S P�!7E use (11c spuce indicated oil this app,
D, :jq :1 ( -
I - thy conditions of approval 'jl understand ihcm, and that I will abide by thm.
n.y Imiowledge. I ji;Wcaa
Ai Deiiied
approved with conditions
0. :0': !Ct' and /or current tost data needed for this site. Contact ACSA, 977-4511, x 117.
it is not a determination of colnPliallce: with the existing
pe�;uon'has been done for UYs clearance, Tberefore,
o' 1� !a 1
sit., platj a5 of this date.
WNI'10
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i
k� 11.47 - 1141 : %k S" let "
Date
Date
D2te
County of Albcmarle Department of Corn muiiity Nvelopment
Maraire Road Charlottesville, VA 2Z902 Voice, (43 5) 296-5832 rax: (434) 972-4126
Revised 7/1/2011 Page 2 of 3
COMMUNITY DEVELOPMENT1 Fax 4349724128 Jul 12 2013 08;56am P003/004
so, give applicant a Certified
j,':1up-irt;,t)ent form.
C;W. i1!;;•.: U:Iti! W4 receive approvat from I Iczdt - h
i Circi:e the one --.1
form.
f :'-we receive approval from Health
r f: 'A CA; 1
ED
Y N
"is rutLht-g kil `tin, of kind? Iffso, obtain proper
p ;rr;i
V
b.". ii ii new renovations?
-'i so. cwmn
Per
mit -,6
't 'SO. L KI;
K.
C!eli
Reviewer 'Lo comPlcte the f0)10wik19',
-Spare footago, of Usc- 'I I
—
Oe,mitted as: (, V: =&
undersectioln; 1-5r
Suppimentary rcgulations stotion:
Parking formula.-
Rcquired spaces'
y
Items to lie v6rifled in the field:
Inspector , Date:
Notos,
'IT so, List:
If so, List;
SDIXIS
Revised 7/I /2011 Page 3 of 3