HomeMy WebLinkAboutCLE200600096 Legacy Document 2014-07-16Application for Zoning Clearance
OFFICE USE ONLY
Wing Clearance = $35 CLE #
Check # Date: �p
PLEASE REVIEW ALL 3 SHEETS Receipt # c Staff:
PARCEL INFORMATION 2
Tax_Map and Parcel: _ 0� 0 f M 06 00 130 00 Existing Zoning FPS C_
Parcel'Owner: SV_Prl!!�7 ( Val �i<-t �- U—C-
Parcel Address: 5�! i �vl City &L_,10 �i /CState V Zip c��
____ ____ ___ _______ __ _ _ ____ Sinclude suite or floor
APPLICANT INFORMATION ( 0
Who should we call/write concerning this project? L �L
Address: 6 R(e) R8 City a �f � 04 Ld!S
--State. 01 fr - zip �
Office Phone: Cell # Fax # 41z. a 17 E -mai >l'aa�� rCGeYSa t)P & a l7k� .e �
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PROJECT INFORMATION
Business Name /Type:
Previous Business on this site: /1) 04 / a \d
Proposed use:
q- o "
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 accur a 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)() 3&G }G Of C [C R Y 5 0 1J
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APPROVAL INFORMATION
(A Approved as proposed ( ) Approved with conditions
Building Official Date s of
Zoning Official Date Jr 6
Other Official Date
----------------------- - - - - -- - ;- - � -1 -- - - - - - -- ° - -z� -- -- - - - ------------------------------------
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
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Reviewer to complete the following:
Square footage of Use:
Pl N 'r_QiV J Q( A
Permitted as: nn —
Under Section:
Supplementary regulations section:'
Parking formula:,. "
Required spaces: i -; f/4,y—
Y/N
Item's -18 be verified in the field:
Inspector Name & Date:
Notes
10/ 14/0 Yage 4 of 4