HomeMy WebLinkAboutCLE200600110 Legacy Document 2014-07-22Application for Zoning Clearance
OFFICE USE ONLY
ning Clearance = $35 CLE # 2._ d
PLEASE REVIEW ALL 3 SHEETS Check #
Receipt # &P7
PARCEL INFORMATION
Tax Map and Parcel: Q Y CJ 00 —00-06—T7 V /40
Parcel
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Date: 5• O fv
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Existing Zoning P S C
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Parcel Address: �QJ6 12 f C 14111 CtR City State /
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------------------------ - (include - suite -or floor) ------------------------------------------------------------
- ---------------- - - - - -- -------------------------------
PRIMARY CONTACT
Who should we call/write concerning this project? J1.1V�1
Address : 1 8(oO FOR &57 �r b City f`0P- EST S' tate 1A Zip Zgsc I
Office Phone: (q33 38S -SC I I Cell # q3`I �Z� �iS I Fax # y3 38S'-47q1 E -mail ��Y iE7 EF a UTT6 t'CW-1, a6A'f40 ,M1'\
- ----- --- -- ----- ------------------------------------------------------ - - - - -- -------------------------------------------------
PROJECT INFORMATION
Business Name/Type: ?LPN q" ftrPr (hi S`I O VTIM6-
Previous Business on this site: PEW P'AL& 6e
Proposed use: 1?-i✓ (L SP (3P 11U (5 ( 6Q OS
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 tot e-h�st of my knowledge have read the conditions of approval, and I understand them, and that I will abide by them.
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APPRO AL INFORMATION
[ Approved as proposed [ ] Approved with conditions
[ ] 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.
Contact ACSA 977 -4511, x119.
Therefore, it is not a determination of compliance with the existing
Backflow Device and/or
Building Official Date fo
Zoning Official Date 06
Other Official Date
.... -........ _..----------------- - - - - -- - - _ - aye - -= ---- - -C'�= --- - - - - -- - - - - --
County of 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: 06
Square footage of Use:
Y/N
Permitted as: 6✓l�_ X07) (�
Under Section: 0:6-d-, t 1 o�. a • , 'A, 1 u)
Supplementary regulations section: `„ n
Parking formula: L Cr 0 '/o OPP"�, �
Required spaces:
Y
RICO be verified in the field:
i
Inspector Name & Date:
I Notes
10/14/05 Page 4 of 4