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HomeMy WebLinkAboutCLE200700263 Legacy Document 2014-04-28Application for Zoning Clearance OMIRIT14USE bNIN PLEASE RE, VIE A I. L 3stirm, T$ elleekil i!s 197 j);tto, Receipt 81 a f 1--. PrMCM, INFORNMTION 4>28 00 — 60 0 uY)nt N1411) wid Prim-l- 10-mul Alx!lo�t, LLC- do.*tv r 0,0r) PRIMARY CON-TA(7 Whoslimild lye Addreks: i KAU lty t ate' A.P.P1,1CANT INFO) NUTION' 131'(Sijja� VICA":dt -,Wem t Ap- beAl4rl tA Vi-61ous Bimness on t p —p Describe Oie tivailable .1mi-king, s 1 1015 111il :111Y s 'I'Mis Qliarai(ee will opl.:b valid militc,pa 4. reel rbrWhich" 'Clearance %<ifi 13C -millfred. Him-bycgutify that lowilur havc(lic mvilm'spull, wiss , iolvtu U-4 illeI)ate idn' I ako uMiryllf.'Ii i", trila-311daceurilp to fitc lmslw-e illy wmyfv 1hd theu), in • pi-0411 afal I iindurst, d that 1-will alATIV, fly Owl. PAItc .u'j1.'x:1, %OvAL 5AT]ON, Approved as proposed liti 1)6iiad- dm* and/br tumdril cstdlita; needed for ihisr sito�. tontacv-AUSA 977�15.0 AIM fAdl 10 llhy-iickl;silc Jm 30.0on:10; Lw.n d()ri4:,fbr t'hi :61, autm.'rhereromi it i, nota dk gi 11. site plant, .Cblj) 11 t1u sitcp!wvvis at, fl.tis dntp- ........... .. D.110 011ie)- Official D.11te County, of. "anw1unk Y.1) e 6v 6 molft , I 1 40i NIchitire Rand Char otter ilk, VA2290211016 }296 n -2 T,nxi (4-340 14;116. 51406 Pow"? Or.3 ,< 0 r—,-v Intake to com ete the following: ❑ YES NO Is use in LI, III or PDIP zoning? If so, give applicant a Certified Engineer's Rep (CFR) packet. [:3 YES 7NO Will there be food preparation? If so, give applicant a Health Department form. Zoning review can not begin until we receive approval from Health Dept. FAX DATE ES ❑ NO I ar n private well or bl�Watmea private ell, provide Hcal t form. Zoning re 'ew can not begin until we receive approval from Health Dept. ATE! _ YES ❑ NO Is parcel on septic or Ct:se:w� YES [-1 NO Will you be putting up a new sign of any kind? If so, obtain proper Sign permit. Permit # kL C_ ❑ YP,S NO Will then: be any new construction or renovations? If so, obtain the proper Permit. Permit # Tech to A ■ • Variance: [I YES ❑v rNO If so, List: Reviewer to complete the following.• Sq�/YES are footage of Use: _ - � ,��I. __ ❑ ��` O(� Qh -4 � / Permitted as: VII bl d1�U(/iV 16 Uf Under Section: Supplementary relations section: Perkink foa`rXt�.� ��r/y{� Required spaces: U YES U NO Items to be verified in the field: Inspector: Date: ❑ YES ErNO If so, List: .■ YES [I NO iii g cu- 0 511106 Page 3 on