HomeMy WebLinkAboutCLE200600139 Legacy Document 2014-07-24Application for Zoning Clearance
OFFICE USE ONLY
Zoning Clearance = $35 CLE #
PLEASE REVIEW ALL 3 SHEETS Check # Date:
Receipt # Staff:
PARCEL INFORMATION
Tax Map and Parcel:, 1 ; 4C� H_y Existing Zonin L/
41
Parcel Owner: G' e � c \ P 7
Parcel Address: '177 'Fi)vCv y C ��l a Ce- City � 11
'�n� State �,�1`r1` Zip 2 1 )
(includestiiie or floor)
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PRIMARY CONTACT
Who should we call/write concerning this project? j '7P P77-, t`'
2 � Ciy Address : v-) t e State �/ r�r- Zipi�
Office Phone:ct2� � � ' Cell # l < Fax #.q7A,,7 Q I E -mail S pry,
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PROJECT INFORMATION Q__ j r
Business Name/Type: r \�- �d 12 E2 ec, a" P 071 t 3�Z
Previous Business on this site:
Proposed use:
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 ownar 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
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APXROVAL INFORMATION
Approved as proposed [ VJ Approved with conditions
VBackflow 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 compliance with the existing
site plan.
jqT is site complies with the site plan as of this date. 7:1w � 2?6 �Z�zo��S
a6M S S Ct LA I fi
Backflow Device and/or
Building Official Date
Zoning Official Date 0 r,
Other Official (�- Gw� aC�yKd� Date �� `� 10 6
119
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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 10114105 Page 2 of 4
1
Reviewer to complete the following:
Square footage of Use: (�
Y/N rr
ermitted as: 1 _ a.4 i ytQ X 5 0 L �S�WI e✓l +
Under Section:
Supplementary regulations section: VL� 0\
Parking formula: I OrJ D
E quired spaces: �%� "°' �,`�a WAN v
/N
ms to be verified in the field:
T-W �p a
Inspector Name & Date:
Notes
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