HomeMy WebLinkAboutCLE200600059 Legacy Document 2014-07-08us�, =A.pplication for Zoning Clearance
g g # 5 OFFICE USE ONLY
nin Clearance = $35 CLE # d 61— C
Check # �`5 Z�L . Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # C S Staff:
PARCEL INFORMATION _
Tax Map and Parcel: !L/ J �(Y /� L/ Existing Zoning H
Parcel
Parcel Address: L h a c4 City liV1G� �C��{- 'S �i+ % %tate V ,/ Zip
(include suite of orb - - -- - - - - - -- - -- -- - -- - -- -- - -- - -
APPLICANT INFORMATION I
Who should we call/write concerning this project?
Address: Lo X City J)Atate Zip r(>'�
� Fax # I�D "Ofce Phone: E -mail 1f�1�2r'IT ✓f'i1�17 ��a �� %��j %ihl� ifs,
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PROJECT INFORMATION I /� A �� � 4,4 Business Name /Type: V71 ,/L C1 IVI S - / D
Previous Business on this site:
Proposed use:
2>
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 best of my knowledge. I Werea the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed /"(. Zl�,
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A PROVAL INFORMATION
Approved as proposed ( ) Approved with conditions
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LU1 1111 . c.i. -. an �v
Date
Date ZZ
Other Official - I Rate
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Cou ty of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
Reviewer to complete the following:
Square footage of Use:
Y / N ��.w��N✓I
Permitted as:
Under Section:
Supplementary'regulati/ti'�ons section:
Parking formula: `7 tTr— ?(OA--
Required spaces:
Y/N
Item o be verified in the field:
Inspector Name & Date:
Notes
i U/I4/UJ rage 4 or 4