HomeMy WebLinkAboutCLE200600102 Legacy Document 2014-07-22,ll.jiF'
Application for Zoning Clearance
�,/ OFFICE USE ONLY
U Zoning Clearance = $35 CLE # ;260(0 - 00 /0 1—
PLEASE REVIEW ALL 3 SHEETS Check # h$ Date:
Receipt # f8 8 Cn l Staff:
PARCEL INFORMATION
and Parcel: 3 o� 6O " �� " O " d 3 O 0
Tax Map a � � Existing Znnm�
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Parcel Owner: t t � u /ry �)/lf 5 E �! � �o2T /91,o L- LC
Parcel Addres . SO a P /Vli A e ��`cli City C�a' 1 L)+6 V 'J J t✓State V Zip
..... ude suite or_floor) __
PRIMARY CONTACT
Who should we call/write concerning this project? J , ;ivy
Address: �J Q 1 F. (WO-f- tct_f— S+, City C // �&C1Qfl-&,$Vi 1 (e— State VA_ Zip a1.Da-
Office Phone: U aas 7 b Cell # 434 -qY7- 0753 Fax # gOL1 R73-VaW E -mail �; rn(d. ari l i rtec a i R Stow G� s�
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PROJECT INFORMATION
Business Name/Type: St? _ P. (Sg\ (,)-,A Ski p
Previous Business on this site: T-7-i do -nC (v i cQ 5
Proposed use: C o c r\ S\2. Q
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 permissio _i to use the space indicated on this application. I also certify that the information provided is
true and accu;?OaA the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature CL Printed Va -(—o, W L (k CA'—
------------------------ --------------------------- - ------------------------------------------------------------------------------ - - - - -- - - - - - --
AROVAL INFORMATION
ft4 Approved as proposed [ ] Approved with conditions
[VI"B ackflow 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 existing
site pl '
[ his site complies with -t#is date.
Building Official
Date f % 5 /0h
Other Official Date
-. .. .. ------- . - -- ... ? 07 ------ ••-- ..__..........--- .._...
D
County of Albemarle epartment of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 10/14/05 Page 2 of
Re,,,"iewer to complete the following: n
Square footage of Use: s� A
2_
Y/N
Permitted as:
Under Section:
Supplementary regulations section:'
Parking formula: 1 1 O D+
Required spaces: .
i%W1 r rr
Inspector Name & Date:
r � a- (SAAA, � 611
Notes
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10/14/05 Paee 4 of 4