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HomeMy WebLinkAboutCLE200600118 Legacy Document 2014-07-22Application for Zoning Clearance;: � ern ;ice \� OFFICE USE ONLY /� Zoning Clearance = $35 CLE # ©C PLEASE REVIEW ALL 3 SHEETS Check # q75 Date: -) Z - Receipt # 4ojQQ T Staff: PARCEL INFORMATION Tax Map and Parcel: � �' o ' o l — Do "- ofz D® Existing Zoning Parcel Owner: C5;4z h6k(2M / A n-y ince- L-AN b T121,,L5 Parcel Address: a III &Lk d ' &A 1z bQ 4q(- City. State �f} Zip Z29e) I (include suite or floor) ------------------------------------------------------ - ------------------------------------------- - - - - -- - - - - -- - - --- - - - - -- - - - - -- PRIMARY CONTACT Who should we call/write concerning this project? U �,.)�V'�nn �1}'-f4 Lr'_ -ro-'a Address S i� r-A _tiyio (�- P-e �� City l Aly?_UHs65 kate V(- Zip Office Phone: CLS p 9 S - 5 �S5 Cell # Fax # E -mail �� R Z-W EAr,_ i Vok, me-t ------------------------------------------------------------------------------------------------------------------------------------------------ PROJECT INFORMATION _ i Business Name/Type: (',� A P2 kir 5 L` � l t'. ��S'i-�u �° A014 S lA e p l �1 � LL L� , I ��.�(n i` Previous Business on this site: l`0 Proposed use: (�C4 C& t a-o k•r+g St,li�P F � .r+ia�4fi c-2 S4i.e" i7zP { �C✓I�Li� (A Fo to n / ( N S-[ 5W, S GGS /cv�t d J \ 1 V I 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.of have trie 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 m y kgowl'edge I aye read the conditions of approval, and I understand them, and at I will abide by them. Signature,.. 1 .,f /�."l✓' �y' ::�L� Printed ih'Y 'u rl .- ----------------- - -------------- - - - - -- - - - - -- ------------------------- APPROVAL INFORMATION �] ,N] Device �tndl�p Approved as proposed [ ]Approved with conditions y �ul,� Data N� [ ] Backflow device and/or current test data needed for this site.. Contact ACSA 977 -4511, x119. [PbWWtA(SAM-0%)tJ10 [ ] No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance WiMh It e V! Misting, site plan. 04WA a . - -+•Y -- Dd This site complies with tke s - as oft is date. No ky��sJ�l� 517x, Building Official Date. ( :I o C__ Zoning Official Date �° r 6/l �O Other Official Date .--•----••--.....-------•---•-------------------------•------------••------...-----••-------•---......--------------- ...------ ...- .......-- - - - -.. 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 i Reviewer to complete the following: c1 n Square footage of Use: 0/ N Permitted as: tltl Under Section:. t 1� Supplementary regulations section: -�' Parking formula: Required spaces: Y/N Inspector Name & Date: Notes I 10114105 Page 4 of 4 I i