HomeMy WebLinkAboutCLE200600099 Legacy Document 2014-07-16Application for Zoning Clearance
OFFICE USE r
Mr6 �(�
❑ Zoning Clearance = $35 CLE #
PLEASE REVIEW ALL 3 SHEETS Check # p C%SS Date:
�°� Receipt # ) Staff:
PARCEL INFORMATION sco tKo l t
Tax Map and Parcel: Existing Zonin /
Parcel Owner: _koj-f) f ,5C' S
Parcel Address: "75" V Lim] City 6 ff ,5 n) )1e- State Zip✓y�'90
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(include suite or floor) ------------------------------------------------------------
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PRIMARY CONTACT
Who should weeycalUrwrite concerning this project? �� 01-1
Address : �% / 1.(1� �77d City 77�1UJf�(I''p7 State V Zipa����`-
Office Phone: Lb �Dko" Y0 i Cell # q �o n)' 619 ax # E -mail
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PROJECT INFORMAT�,-�N,, � �7-�
Business Name/Type: kp"25 (1'uul Li frc /101 nne— c5 (► J6 e„`. L L C
Previous Business on i
Proposed use: t -1 Q k'_t"Da Ey� ,
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.
Signature
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Printed Md1r4 L/"�
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APPROVAL I ORMATION
[ ] Approved as proposed [ ] Approved with conditions
[ ] Backflow device and/or current test data needed for this site. Contact ACSA 977 -4511, x119.
[ ] No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the xisting
site plan.
[ ] This site complies with the site plan as of this date.
Building Official ` > � DMA A l" r—`�—A
Zoning Official 5QORA� L S %D&
Other Official Date �� y
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County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 10114105 Page 2 of 4
Y
Reviewer to complete the following:
Square footage of Use:
Y/N
Permitted as:
Under Section:
Supplementary regulations section:
Parking formula:
Required spaces:
Y/N
Items to be verified in the field:
Inspector Name & Date:
Notes
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