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HomeMy WebLinkAboutCLE200600057 Legacy Document 2014-07-08Application for Zoning Clearance CY/Zoning Clearance = $35 PLEASE REVIEW ALL 3 SHEETS PARCEL INFORMATION if OFFICE USE ONLY _ CLE # 2 o _ 7 Check # Date: 3 —`7 —© Cp Receipt # 519410,5 Staff: Tax Map and Parcel: l.+ �U% (�� — Z Ulf a (96 /D d Existing Zoning Cn ry) rD ✓ Parcel Owner: E=— ✓y dL Q P LA AJCJ__k- Parcel Address: 14 �_° o C-r tC�ry-) P l City State Zip � include .. suite or floor --i ------------ - - - - -- ----- ---- -------- - - - - -- ---------------------------------------- PRIMARY CONTACT � � "`� �. •- Who should we call/write concerning this project? Address :.,-72X .h! C City (­11A fr; JG', State Office Phone: �) Cell # i '" `t' Fax # E -mail V� y/ t` ---------------- - - - - -- PROJECT - - -- INFORMATION � - / >- � - -('-1 �. 1 7 JBusiness Name/Type: i , f - U-S i Previous Business on this site: Proposed use: p/• e C - 31 � `3�J .-`=P �� 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 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 best imy knowledge. I h,�e read the conditions of approval, and I understt dithe , and that I will abide by them. Signature 00- 1^'1 '`1 Printed ! - ------------------------------------------------------------------------ -=----------- - - - - -- ---------------------------------------------------- ROVAL INFORMATION ] Approved as proposed [ ] Approved with conditions [ ] Backflow device and/or current test data needed for this site. Contact ACSA 977 - 4511, x 119. [ ] 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. Bacltflow Device al Official Date. _ � �� C. Zoning Official I �� Date 3- .2 F ' 4 Other Official Date ............................. - ......... . ......................................................... - . r- County of Albemarle epartment of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 10/14/05 Page 2 of 4 d' Reviewer to complete the following: �U 10 quare footage of Use: Y / it of MP. 4 ermitted as: Q Under Section: • oL b Supplementary regulations section: �^ " Parking formula: 0 0 X Required spaces: oZ Y N It go be verified in the field: Inspector Name & Date: Notes lU /14 /US Yage 4 014