HomeMy WebLinkAboutCLE200600085 Legacy Document 2014-07-16Application for Zoning Clearance
OFFICE US ONLY
El Zoning Clearance = $35 CLE # 6 `"
Check # L7441 Date: qfll D6
PLEASE REVIEW ALL 3 SHEETS Receipt # fir-' 4 L Staff:
PARCEL INFORMATION 03,, a� �o �D Q � D F0 �
Tax Map and Parcel: Existing Zoning
Parcel Owner:
Parcel Address �/ )01 City i'.t..^ State )0� Z
_________(include suite or floorl
APPLICANT INFORMATION
Who should we call/write concerning this project? J ��77
Address: 6/0 eV ,� a� �� City �� State (/�%� Zip�i
Office Phone: 3 '979— 145 V-Cell #
PROJECT INFORMATION
Business Name /Type:
Previous Business on this site:
Proposed use: C q *r
Fax # E -mail
W14
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 have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed O
APPROVAL INFORM TION
Q) Approved as proposed
Approved with conditions
Building Official �— Date
c
Zoning Official Date D
Other Official Date
------------------------- - - - - -- - -- - - - -- )' ! ------ -- _� .:- -° ---------------------------
- -- --
County of Albemarle gepartment 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:
t
Permitted as:"i"'��Ye� -1�
Under Section: a�5 OZ 1 o2a.%�►-
Supplementary regulations section:
Parking formula: �b,t�� cazti
Required spaces
Y
Item o be verified in the field:
Inspector Name & Date:
Notes
lU/14/05 Page 4 of 4