HomeMy WebLinkAboutCLE200600050 Legacy Document 2014-07-08Application for Zoning Clearance ego'
OFFICE USE O M�06 Y ��11
Zoning Clearance = $35 CLE # !io
�0 s
PLEASE REVIEW ALL 3 SHEETS Check # Date:
Receipt # Staff.
PARCEL INFORMATION �J
Tax Map and Parcel: �f i[ Existing Zoning_ lb
Parcel Owner: PX d LIZ- j�1 i a
Parcel Add
City
(include suite or floor)....................
----=----------------------------------------------
PRIMARY CONTACT
Who should we call/write concerning this project? r dpi
State
Zip
------- - - - - -- --- ------------ -------- ----------------------------------
I � l f ) )
l/i>d 1)AA _ a i r,1%{0 9-4
Address : City State Zip
00 Or _ =5
O e ne: �� Cell # E -mail
.� _... .... .. ............................... ......... 5....... _.. _.. _... ..... _ .. _.. __................. _.. .
.. ......... ...... . .. . -. .. ._
OJECT INFORMATIO //� �,
Business Name/Type:�✓isAA_,! �l��iY41� ! d�6 f"Jve�
Previous Business on this site:
Proposed use:
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet 1)
*This Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to anew 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 best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature a L� G Printed
- ---- j
APPROVAL INFORMATION � ltw� �jj�,�'� =�-� ��l
[ ] Approved as proposed [Approved with conditions
« r(—i y
[ ] Backflow device and/or current test data needed for this site., Contact ACSA 977 - 4511, x119. �" ' 1A e%
] No physical site inspection has 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. j
Building Official Date.
Zoning Official YJ Date c-� pC ✓(/lip
VV
Other Official Date
------.......-------------------------------------------------......--------------------------------------------...-...------...-..--------.----
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 10/14/05 Page 2 of 4
Reviewer to complete the following:
Sqdare footage of Use:
Y/N tow
Permitted as:
Under Section:
Supplementary regulations section:
Parking formula:
Required spaces:
Y /�N J
Item be verified in the field:
Inspector Name & Date:
I Notes .
i P-,4
I
10/14/05 Page 4 of 4