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HomeMy WebLinkAboutCLE200600140 Legacy Document 2014-07-30�I ! 1 Application L for Zoning Clearance] t g OFFICE USE NLY l Zoning Clearance = $35 CLE # PLEASE REVIEW ALL 3 SHEETS Check # Date: Receipt # Staff- PARCEL INFORMATION Tax Map and Parcel: 07 6(r -m cc �) '7'-t' An Existing Zoning Pbs.�, Parcel Owner: Parcel Address: V" \�� 9 \t- \Nm\ City State Zip --------------- - - - - -- (include suite or floor)-------------------------------------------------------------------------------------------- PRIMARY CONTACT Who should we call/write concerning this project? �( i e- P'1C�: C� Address : �C —A( S�\(D , \\ i CityCA-�-4 state. y A Zip %3bT--�b\ Office Phone:��Uq�..��ell # Fax A-I A- f' $3 E -mail ------------- - - - - -• - - - PROJECT INFORMA�ON Business Name/Type: I ) aC � S`�'��C1C \C'� l-, \( S Previous Business on 1 Proposed use: i ( w-A `. Y _� �1 �G2� `�` 1 'i, - b�... is LQ 2 Circle (if applicable): Fireworks / Christmas Tree SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet l) *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, > a. o Printed ._� acx„` \�' -- - ------ - - - - ------------------------=------------------------------------------- APPROVA INFORMATION [ ] Approved as proposed with conditions [ ] 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 compliance with the existing site plan. Building Official Date. Co r C 9 Zoning Official Date Other Official Date ........................ - - ..�Q:'.a�a -d(Q - -- - " -------------------------------------------------- County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 . Voice: (434) 296 -5832 Fax: (434) 972 -41.26 10/14/05 Page 2 of 4 . Reviewer to complete the following: Square footage of Use: ACO 0- ©/N Permitted as: % C2 bYAA�, Under Section: I R YG� Supplementary regulations section: Parking formula: Required spaces: �l It/ Items be verified in the field: Inspector Name & Date: I Notes iu/i4iuo rage 4 oI 4