HomeMy WebLinkAboutCLE200700228 Legacy Document 2014-04-28Zoning Cle#rance
19 oning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS
Tax map and parcel: f% J j = J ° `�/ J Existing Zoning: (_2(L,) r I j f Y
Parcel Owner:
Zil>G�
Parcel Address:/ `f/ �1itf� /�U�T� �/T �� City
(include suite or floor)
Contact Person (Who should Nye call /write c ncerning this project ?):
Address�f•�: �C�fP /Q ' /) �! G�J'�� CitC��� -/� State /, rr�� Zips T
Daytime Phon JL Fax
E -mail �1 /i7 /GTi'fU� ��Gd9- /ff��ff6. �%f
Business Name /Type:
Previous Business on this site:
Proposed use: Z ��"✓i(riC� /l� ✓�C)Gi `�` �i
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1)
Circle (if applicable): Fireworks / Christmas Tree
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 tru an accupallte to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will
abide by�A
Date
Print Name
APPROVAL INFORMATION
[ ,- ]Approved as proposed f.) ti i ,; a [ t ;] ApP'roved witli conditions
[ G]" 13ackflow device and /or current test data needed for this site. Contact ACSA 977 -4511, x 119.
[ l,] No physical site inspection liar been done for this clearance. Therefore; it is not a determination of compliance with the existing site plan,
[ ] This site complies with the site plan as of this date.
Building Official
Zoning Official
Other Official
YAi -.WT k f.
Date `( I i . I 'i
Date l� / 6 ,-
Date
FOR OFFICE USE ONLY C L E # (D-) 7� Z Z
Fee Amount $ 7J�� (�U Date Paid 9.1'61' By who' ?�QJI Receipt # fp 709 Ck# By:
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 tax: (434) 972 -4126 5/1/06 Page 2 of