HomeMy WebLinkAboutCLE200600136 Legacy Document 2014-07-24Application for Zoning Clearance r�
OFFICE USE ONLY
Zoning Clearance = $35 CLE #
PLEASE REVIEW ALL 3 SHEETS Check # 4CAA Date:
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel:
Parcel Owner:
Existing Zoning C -
Parcel Address: 1 E, � �"1N, tt �f � �j � City A State Zip
(includes to or floor) -----•----•------------------------- - - - - -- -----------------------------------
PRIMARY CONTACT eln
Who should we call/write concerning this project?
Address: %��C7 S` R ���'J�� City �J%�haO0 t'3ut -State V/a. Zip 22
Office Phone: ( IJ 1) 72 —27?5 —Cell # Fax # E -mail y.Si�tx %y , �(,� ��a��'iu7� /ttVM ,crawl
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PROJECT INFORMATION
Business Name/Type: _ _ 57 F�4916 r- AZ(2AAWCC -' CO
Previous Business on this site: J`lMr- i -AA-10 Z;- 15t.'AA1VCZ (X2 -
Proposed use: 114084L,-E- D4449 vj�--
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 to the best of mmy,, knowledge. Ihave read the conditions of approval, and I understand them, and thhat+I will abide by them.
Signature Printedlt�
A- -- P ----------------------•---------------------------------------------------------------- - - - - -- - - - - - --
PROVAL INFORMATION � piance ] Appro ved as proposed [ ] Approved with conditions 1/ Backflow device and/or current test data needed for this site. Contact ACSA 977 -4511, x119.
No physical site inspection has been done for this clearance. Therefore, it is not a determination of c h the existing
site plan.
[ ] This site complies with the site plan as of this date.
Building Official , Date I k 0 C.
Zoning Official Date
Other Official
............................................................... • ........................ = .......................................................
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
e`viewer to complete the following:
Square footage of Use:
Y/N
Permitted as:
Under Section:
Supplementary regulations section:
Parking formula:
Required spaces:
Y/N
Items to be verified in the field:
Inspector Name & Dater
Notes
IU /I4 /U5 Page 4 of 4