HomeMy WebLinkAboutCLE200600058 Legacy Document 2014-07-08Application for Zoning
Zoning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS
1 �
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Clearance
OFFICE USE ir�'�,,, -) �
CLE # O.jV pC� X J ,
Check # 6!2 . Date: 31/ q
Receipt # Staff: Ma-A-
PARCEL INFORM//ArrTION f�
Tax Map and Parcel: V r 0 � 7 Q �/ 00 Existing Zoning 0o 1m m e rctAj
Parcel Owner: —C h 1 "Q N q a SSh eyG(. --JJ c�3 Gr7 e-'* i Y" r-V
Parcel Address: 90140 Sere; NO I e +ra i) City D State 1,4 Zi ��q 7
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(include suite or floor] ------------------------------------------------------------
PRIMARY CONTACT
Who should we call/write concerning this project?
Address: Q P IP City State lG Zip
Office Phone: IA[A3 �- D09 Cell # Fax #!41M Ct49 kff]E-mail FS P061 P 'fib C-6 M
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PROJECT INFORMATION
BusinessName/Type:
Previous Business on this site:
Proposed use: fef:a H
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 of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
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Signature _ NPxmted a �
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AROVAL INFORMATION
pproved as proposed [ ] Approved with conditions
[ ] Backflow device and/or current test data needed for this site. Contact ACSA 977 -4511, x119.
[ ] 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 p FnAoTdigldaleDevice and/Oi' _�_ _
Building Official Date to o
Zoning Official Date
F rto���
Other Official Date
County of Albemarle garttn nt�mmunity Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 10/14/05 Page 2 of 4
4
Reviewer to complete the following: '
Square footage of Use:
Y/N
Permitted as:
Under Section: ZZ 'Z • ,1 �(s � 1'f00��,q,�
Supplementary regulatio_nns, section:
Parking formula: icy ��ah
Required spaces:
Y N
Item be verified in the field:
Inspector Name & Date:
Notes
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