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HomeMy WebLinkAboutCLE200600137 Legacy Document 2014-07-24<;t nl.rrr Applicatio for Zoning Clearance OFFICE USE USE ONLY Zoning Clearance = $35 CLE # Z on 13 7 PLEASE REVIEW ALL 3 SHEETS Check # 100-7 Date: 4 -z-O& Receipt # 420,3e) Lo Staff: PARCEL INFORMATION tt�''� Tax Map and Parcel: C7410 T'' ob —00 +d0 80o Existing Zoning Pas Parcel Owner:c� Parcel Address: '74 "(' ;orJc lil' i~ L-State IZA Zip 22'T1 ___(include suite or flo t`f�'_!'O - �C' --------------------------------------------------------------------- PRIMARY CONTACT Who should we call/write concerning this project? D - Address: 1 —I �i © Zi 11eA . Y1 L/� City e �e r� `� State �('! Zip �2 �f Office Phone: Cell 63 '2 -q2-2 §lax # E -mail Ck �a �- R, /✓ r +1�c��l ------------------------------------------------------------------------------------------------------------------------------------------ - - - - -- PROJECT INFORMATION Business Name/Type: Qe�t \LU + �" � `i 1�' � Q(��D�� �i� 9i i Previous Business on this site: pp�� Proposed use: �'VI C' lcc� �� 'A Circle (if applicable): Fireworks / Christmas Tree A 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 t the best of my knowledge. I ve read the conditions of approval, and I understand them, and that II will abide by them. Signature Printed � (% G r I A 1A L -dc - ---------- -- - - - - -- ------------------ -------------- - - - - -- ------------------------------------------------------------------------------ ---- APP} OVAL - INFORMATION [ Approved as proposed [ ] Approved with conditions N 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. Building Officia', Zoning Official Other Official Contact ACSA 977 - 4511, x119. . Therefore, it is not a determination of compliance with the existing Date. Date 941 Date IV/&/ 6 Device .............. i---- •------------------------ - - - - -- -- ------ - --------- •------- ----------------- ------------•-------...---- ------ County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 229 2 Voice: (434) 296 -5832 Fax: (434) 972 -4126 10/14/05 Page 2 of 4 Reviewer to complete the following 5 -Square footage of Use: [� Y/N mitted as: Under Section: • of Supplementary regulations section: ( - Parking formula: 0 7 4-ta Required spaces:Y'���- ��VC.?.15 Y/N Items to be verified in the field: Inspector Name & Date: I Notes . Wtiu.�� c ,4 -Gi.ep • v r - -, 02 10/14/05 Page 4 of 4