HomeMy WebLinkAboutCLE200600098 Legacy Document 2014-07-16a
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Application for Zoning Clearance
OFFICE USE ` NLY ``
El Zoning Clearance = $35 CLE # 0b �d
PLEASE REVIEW ALL 3 SHEETS Check # Date:
Receipt # r Staff:
PARCEL INFORMATION- �7 -Oa,�
Tax Map and Parcel: () L&W
Parcel Owner:
.00
Existing Zoning Ri�
Parcel Address: " City State Zip
---------------- • - - - -- (include su_ite_or floor_) -- -----------------------------------------------------------------------------------------
,/ PRIMARY CONTACT
Who should we call/write concerning this project? Pj97— !2c K.CeE' ci f��
Address: Zzl Fo e fie_i6, Ti -c_ck city Chr d -ot&-s1)+ 11C-. State V19 Zip 2-2-'701
Office Phone: (B) 213 -9 5'o I Cell #(430 - 435'5�Fax # ; -83416 l E -mail &M &,&e/1 1 e-
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/ ---------------------------- ------------ - - - - -- - - -- ----------------------------------------
�/ PROJECT INFORMATION � - ) ��--- - - - - -- '
Business Name/Type:Dx c-ir._ GLFI 1c1C PtSSOLt�c G�c w 5p fe Cf1dS' //�S r,
Previous Business on this site: h nl' fie? _r YVt 2-1 Z4
Proposed use: 114rSe= !t-FC_Ce_j
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 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. / p
Signature .. Printed y(/ [ A ete_k
----------------------------- --------------- - - - --- ----------------------=-
OVAL INFORMATION
Approved as proposed [ Approved with conditions m.-,_ ---1
[ ] 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.
A 977 -4511, 1 B•aCkfIoNv Device Needed I or
Therefore, it is not a deter in ht ��ir ct Tet a I�Twe3
P>X1pl >` �?P�, _.1�1 � ,e?i �
Building Official Date
C.
Zoning Official Date d t,
Other Official Date
Cou ty o Albemarle 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
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Reviewer to complete the following:
Square footage of Use:
Y/N
Permitted as:
Under Section:
Supplementary regulations section:
Parking formula:
Required spaces:
N
ems to be verified in the field:
Inspector Name & Date:
Notes
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