HomeMy WebLinkAboutCLE200600143 Legacy Document 2014-07-30Circle (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 my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed v, `
------------------------------------------------------------------- - - - - -- ----------------- - - - - -- el low _Ue- viee.andlat - - -- - - --
OVAL INFORMATION Carrent Test Data Needed
Approved as proposed [ ] Approved with conditi I nContact ACSA 977 -4511, 1119
[ ] 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.
[ ] This site complies with the site plan as of this date.
Building Official Date
Zoning Official r Ge—� Date Kle 6
Other Official s Date
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
n
Application for Zoning
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Clearance ,'- ::: t
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OFFICE USE ONLY Z �°'0
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Zoning Clearance = $35
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CLE # �/( _ ( l
PLEASE REVIEW ALL 3 SHEETS
Check # / d O S, Date: — —O (A
Receipt Staff:
PARCEL INFORMATION
g
Tax Map,and Parcel: Tt)( K6 Poi
rc Existing Zoning_
Parcel Owner: L&es' yY oy_S LL L
Parcel Address: I—(—LO T(tmI t�XYYi �lia ,l��City 1G1 i0E{�St1' 4�2 State yQ Zip z /Z
(include suite or floor)
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-- ---- ---- - - - - --
- -------------- -- - - - -
PRIMARY CONTACT
Who should we call/write concerning this project?
cAV1ktE�
Address : �. �1C cJZ,O�
, (
City �o:�te5� 11� State V!� Zip
Office Phone: C43Lb G"lq - Cell #
Fax # E -mail
--------------------------•-----------------------------------------------------------------•-------------------•---------------------------•---
PROJECT INFORMATION v
Name/Type: t
Business .sh _y\ n h!L
Previous Business on this site:
Proposed use: CwLy-le"411
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 my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed v, `
------------------------------------------------------------------- - - - - -- ----------------- - - - - -- el low _Ue- viee.andlat - - -- - - --
OVAL INFORMATION Carrent Test Data Needed
Approved as proposed [ ] Approved with conditi I nContact ACSA 977 -4511, 1119
[ ] 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.
[ ] This site complies with the site plan as of this date.
Building Official Date
Zoning Official r Ge—� Date Kle 6
Other Official s Date
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
n
•
Reviewer to complete the following: ,�y�
Square footage of Use: I1Q z
Y/N
Permitted as: 1
Under Section: C1 /+
Supplementary regulations section:
Parking formula:
Required spaces:
Y/N
Items to be verified in the field:
Inspector Name & Date:
Notes .
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