HomeMy WebLinkAboutCLE200600125 Legacy Document 2014-07-24Application• for Zoning Clearance - 4"wll
OFFICE USE ONLY
❑ Zoning Clearance = $35 CLE # -7 00 (e
Check # . -7 qQ 77 Date: 3_0 fo
PLEASE REVIEW ALL 3 SHEETS Receipt# to0) (p -7 Staff: �
PARCEL INFORMATION n S
Tax Map and Parcel:' . Q'7 20n --OU -O0 -6 17 067 Existing Zoning 1-'
Parcel Owner: M,v-% _
Parcel Address: J p UP1 C___t. City LA__'u, 1-,L- State UC- Zip 2-L9 l
-------- - - - - -- -- --- (i.nciude suite or floor)------------------------------------------------ - - - - -- ------- - - - - -- ----------- - - - - --
APPLICANT INFORMATION
Who should we call/write concerning this project?
Address: C1 �� (, ([' ,�,�: to l z.-�— fL-� UY J G J LJ , cal _ State �% Zip2 <J 7
Office Phone: C (-7 '-Cell "# 9&-Z-5-72A. Fax # E -mail
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PROJECT INFORMATION.
Business Name /Type: n,c�,. rc � 7 tC S
Previous Business on this site: �--
Proposed use•
-7-5 -d(a
Pi
Circle -(if applicable): Firewor / Christmas Tree
SEE CONDITIONS O VAL 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 best of my knowledge. I have read the conditions of approval, and I understand. them, and that I will abide by them.
Signature Printed
APPROVAL INFORMATION
( ) Approved as proposed ( Approved with conditions
.nom ate. o A. A) tA J 1,/ m a a W I n o nil Ste) 11,111 C:_-11_ AA �,V cr.w 11.
Building Official _ Date G 6
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Zoning Official Date
Other Official J10L Date t'a
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