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HomeMy WebLinkAboutCLE200600071 Legacy Document 2014-07-08Application for Zoning Clearance v OFFICE USE ONLY [Zoning Clearance =.$35. CLE # -z-bb ce 7 I _ PLEASE REVIEW ALL'3 SHEETS Check # 1 Date: - © Receipt # .5 9A S1 Staff: PARCEL INFORMATION 6 �� 6� � D-2_?-00 Tax Map and Parcel �,' I Existing Zoning ► �i I " 1 Parcel Owner: \G�i �\ \NVAyNW M n kDC K WS Parcel Address: City State Zip ....................... _ (include suite or floor) --------------------------------- . - - - -- --------------- PRIMARY CONTACT /A/ , Who should we call/write concerning this project? �Y� �'C�. 306ac n I y )L4— 9(01— 3 q a Address: � ` � S U tMvV� i fi V � � W LA City G (A State Zip o( �3 Office Phone: d34) �� LI��' Cell # LI3�1 �1CF(��I`�Fax # E -mail V\Q(,�l(� hi G, Y* )e ------------------------------------------------------ ---------------­-- ------------------------------------------------------- PROJECT INFORMATION Business Name/Type: �/�� Previous Business on this site: __N /A 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 a new location, a new Zoning Clearance will be required. I hereby certify that I own or have the owners 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 d hat I will abide by them. Signature Printed Jt 1A 1P C C VS<M --------- - - ---- ------- -------------------------------------------------------------------------------- - - - - -- ------------------- - - - - -- - - - - - -- APPROVAL INFORMATION [ ] Approved as proposed [ ] Approved with conditions [ ] Backflow device and/or current test data needed for this site. [ ] No physical site inspection has been done for this clearance. site plan. [ ] This s t complies with the site plan as of this date. Contact ACSA 977 -4511, x119. Therefore, it is not a determination of compliance with the existing 3 ��lo� Building Official Date �/ 1 t o Zoning Official 6 Date -313 //0 Other Official Date County of A emarle 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 Mview,,. �. o complete Square footage of Use: Y/N Permitted as: I Under Section: following: Supplementary regulations section: Parking formula: Required spaces: Y/N Items to be verified in the field: Inspector Name & Date: I Notes IV/ I'f /UD rage ,+ 01