Loading...
HomeMy WebLinkAboutCLE200600095 Legacy Document 2014-07-16•V.IfF. Application for Zoning Clearance OFFICE USE ONLY Q /Zoning Clearance = $35 CLE # ZD ©Co -1 5 PLEASE REVIEW ALL 3 SHEETS Check # _ �1e 401 Date: 40-41-40& Receipt# 59543 Staff: PARCEL INFOR ION , �_ p Tax Map and Parcel. ; j Cs > > _ Existing Zoning 11 Parcel Owner: EA V i d L_ . a *'d Ei ( l e'i C C, c Parcel Address: kt>!�e(a e Lpt City V-C:> Z ei State Q /k Zip Z 1 7j (include suite or floor? - - - PRIMARY CONTACT Who should we call/write concerning this project? be, U �k v` � Address : (Ji ��C7 ©`j�'�C{v�C`� J w� Lj, City [ +� y'� '� State L %/�� Zip ZZ�j ' Office Phone: ( -' Cell # W_- 3Z &&D Fax # `+��� �7�0 f E -mail PROJECT INFORMAT QN�,r� \ �,-� Business Name/Type: [�iC l,�i�� fOlQ - /AmecriCCR% Cc1zvoC' e �nCir �l �Jc�vi E-i 1 Previous Business on this site: 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 owner's permission to use the space indicated on this application. I also certify that the information provided is true. and accura� Q the best of 0owle ge. I have read the conditions of approval, and I understand them, and that I will abide by them. . ASignature + Printed boo 1 � ------ - - - - -- - - - -- - ---------- - - - - -- --------------------------7- - ------------ - - - - -- _ - - - - - -- -- APPROVAL INFORMATION [ ] Approved as proposed [\J Approved with conditions kep� 5P 2-00 6 -03 [ ] Backflow device and/or current test data needed for this site. No physical site inspection has been done for this clearance. site plan. [ ] This site 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 Building Official Zoning Official Other Official Date Date ---•--••--------------------•-....:----------•--•----••-------•---•---••-------•---••--•---••--------•------------------------------------ - - - - -- . County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -41.26 10/14/05 Page 2 of 4 M Reviewer to complete the following: Square footage of Use: Y / N ermitted as: Under Section: C Supplementary regulations section: J j ~ } Parking formula:�'Sc , r� Required spaces: Y/ Ite t e verified in the field: Inspector Name & Date: Notes �C S .l - � —Oyvt� PL 10/14/05 Page 4 of 4