HomeMy WebLinkAboutCLE200600114 Legacy Document 2014-07-22.s A�Plication for Zoning Clearance ,
OFFICE USE ONLY�y +
❑ Zoning Clearance = $35 CLE # a!
Check # Date:
PLEASE REVIEW ALL 3 SHEETS Receipt # ii4q99 Staff:
PARCEL INFORMATION -
Tax Map and Parcel: .S�? �� ' Of "0d �"� Existing Zoning
Parcel Owner: N V (z Lt i c.. 13 ZVo LOUJG -5 ,.I.¢_ CAAAANi.r , Va - 22 '701
Parcel Address: %j f /a City State Zip
_ (include suite or floor)
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APPLICANT INFORMATION (
Who should we call/write concerning this project9
Address: W `, . J� d, _ City 40A, State V 0. , Zip
Office Phone: ( Q7q • Zqq q Cell #531 // Fax # E -mail
PROJECT INFORMATION - �Ov%'_I">
Business Name /Type: 1\ �IrJ�rJ
0?q:5q
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 b of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed a
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APPROVAL INFORMATION Current Test Data Needed
( ) Approved as proposed ( ) Approved with conditionsl Contact ACSA 977 -4511, R 119
Building Official
Zoning Official
Other Official
Date Lo
Date
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
Reviewer to complete the following:
Sqt� ?re footrap of Use:
❑ YES ❑ NO pp /I r
Permitted as: P' OL/ kam% 4.4L d%*TtCe�
Under Section: q, f' 3
Supplementary regulations section:
Parking formula: e_•r+TID�'e� —"� /
Required spaces:
❑ YES ❑ NO
Items to be verified in the field:
Inspector Name & Date:
Notes
MacQe.� �a>~.e %- nip ° ✓�r� Sp %j
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