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CLE200600146 Legacy Document 2014-07-30
plication for Zoning CA� q,; 0Zoning Clearance = $35 b PLEASE REVIEW ALL 3 SHEETS j; Clearance. �;. ���.�' Jl �l��r,. OFFICE USE ONLY j CLE # r% e) t�& -- i `�' Check # 'Z Date: —q 00 Receipt # w QLi4j e2 Staff: PARCEL INFORMATION �,2'r- / Tax Map and Parcel: 0 — 0a Z5 — 13 /A® Existing Zoning_ 10 C)'s 0�/ Parcel Owner: 5- Pe;-" 6- c[Aje -S Cfa SiP1ailD �Z>�> ,rp��}ot�6 Parcel Address: � a ! O 0&,.D City C� V State VOL - Zip ............................ include suite or floor - - - - - -- ------)--------------------------- - - - - -- ------------------------------------------------- - - - - -- APPLICANT INFORMATION Who should we call/write concerning this project? I/a S %J fi A—s /7 F L L'ygs Address : ill CobCteh Cr viClf #t- I City M A-Afv4S5A'S State Va Zip --2b IlDct Office Phone: ( 'x°31 33 5-- jYj'31 Cell # l I Fax # 2. 2-399 -4r4&E -mail S>' ,r ii A i G t swu -Cz� ------------------------------------------------------------------------------------------------------------------------------------------------ PROJECT INFORMATION Business Name/Type: tv j -[-)K �� S Previous Business on this site: FRS 4 i S 9 Proposed use: �� S Y5-1 t✓� .� ©� E i R E W z 12 �z Circle (if applicable): ireworks Christmas Tree SEE CONDITIONS O P AL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet3) *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 Z " ` Printed YoS CIO %9-S M 6(LA -S tl APPROVAL INFORMATION ( Approved as proposed e A - Approved with conditions Building Official Date f C Zoning Official Date 'g-ZZ —o6 Other Official. Date Casunty of Alit Depart e t o o n ty Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126