HomeMy WebLinkAboutCLE200600103 Legacy Document 2014-07-22Application for Zoning Clearance
10 Zoning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS
PARCEL INFORMATION
Tax Map and Parcel:
Parcel Owner:
Parcel Address
61$0® - 66 -00-
__(include suite or floor)_
OFFICE U � LY
CLE # o
Check # Date: s-
Receipt # TDe Staff:
Existing Zoning #C
WIN
State Ya . ZipI.
APPLICANT INFORMATION ��br
Who should we call/write concerning this project. In, j - -' (L ( %
Address : 7i5%5� .Ut ,f ti m4)j , � • CityOu�Q&-At State _ 1(O�- • Zip
Office Phone: �) Cell # •% % Fax # ` E -mail
PROJECT INFORMATION s. /
Business Name /Type: 694n &W-5
Previous Business on this site: y0'L4�_) t'
Proposed use:
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 accurate to the be of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
�D IU l
Signature Panted Q-
APPROVAL INFORMATION
( Approved as proposed ( ) Approved with conditions
Building Official Date
Zoning Official Date
Other Official !, Ui j4 �OA' . Date
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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
r �
Reviewerlo complete the following: (2-Y Sgi':re footage of Use:
[YES ❑ NO
Permitted as:
Under Section: �� � C, o
Supplementary regulations section: W1,
Parking formula: I go 0e�,�o,,t u
Required spaces:
❑ YES ❑ NO
Items to be verified in the field:
Inspector Name & Date:
Notes
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