HomeMy WebLinkAboutCLE200700147 Legacy Document 2014-01-09e 't,
Albemarle County Department of Community Development
Application for
Zoning Clearance
File #:
Date:
Staff:
Tax Map/Parcel:
Parcel Owner:
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5 (Include suite or floor)
Existing Zoning: ✓
Who should we call /write concerning this project? e&ls M/5�/�
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a Office Phone: ��i1 ��✓��.38y J Cell:
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Fax: �77 J���✓ E -mai
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Business Name/Type:
Previous Business on this site:
Proposed use:
-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 t t I own have the owners permissio to use the indicated on this application. I also certify that the information provided
is true and accu ate to lh est of my knowledge. I hav read th ition of approval, and I understand them, and that I will abide by them.
Signature V �n
-•----•-••-----•--------------•---•-------•------......---
- - ( ) Approved as proposed
( Approved with conditions
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Q
ding Official
Zoning
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