HomeMy WebLinkAboutCLE200700089 Legacy Document 2014-04-28Application for Zoning Clearance }n�
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OFFICE USE ONLY���
Zoning Clearance = $35 CLE #
Check # Date: -7
PLEASE REVIEW ALL 3 SHEETS Receipt # to Q2 h Staff:
PARCEL INFORMATION GJ
Tax Map and Parcel: 00000 — 00 -O0 " 0 Existing Zoning Z7
Parcel Owner:
Parcel Address: /00� l City i State 41 • Zip
_ (include suite or floor_ p lti✓l.�e� r' 3 o a r
- - - - - - -- -- - - - -- �- - - -- - - - - -- - - -- - -- -- - - -- -
APPLICANT INFORMATION /
Who should we call/write concerning 1thgiAs roject? )
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Address: u City (L1o1 p Z�S
Office Phone: 1 _Cell # ` Z Fax # E -mail �lfr G[ G �UGIt ao . CltyL!
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PROJECT INFORMATION A&11,4rn;11d.1j Business Name /Type: DD 21
Previous Business on this site:
Proposed use: U„L�l 6e—,
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Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet3)
*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 b f my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed G/EOL4
----------------------------------------------------- ) ------------------------------------------- I ------------------- ? ---------------------------
APPROVAL INFORMATION
(. ) Approved as proposed ( Approved with conditions
Building Official Date ° 5
Zoning Official Date / /�tl
Other Official
Date
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County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126