HomeMy WebLinkAboutCLE200600147 Legacy Document 2014-07-30Application for Zoning Clearance
U,Z,oning Clearance = $35
PLEASE REVIEW ALL 3 SHEETS
PARCEL INFORMATION
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OFFICE USE ONLY � � /'� �� •�/
CLE # (�
Check # 2.66 8;:7 Date:
Receipt # 1 441-2 Staff: alg
Tax Map and Parcel: Existing Zoning 1 D
Parcel Owner: MeO P_ t2 C-
Parcel Address: COn n ar- D (`l Ve �:!q6 2�-I'C y Zip ZZq I I
(include suite or floor) - - -- - -------------------------------------------------------------------------------
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PRIMARY CONTACT
Who should we call/write concerning this project? J C) S e�n.p V-) "- T) 1 C i f a) 0..►�yl. 0
Address: Z15a Qf CQL& ZZ i]i iJ City C VIOL r I D* t11 [ �2 State V A ZipZZ90 j
Office Phone: �i(3 `.)_ �2` ZO Cell # y34lqbq -I ?5gFax # q{4% 7'q3gZE -mail Lr-] o 2 °? CUB (I e- El f-03-(-e- • C001,
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PROJECT INFORMATION
Business Name/Type: r il� Gi ►" �l �y e 0.Y G D,ofc m, - r ,,l !Prae :h e,-e-
Previous Business on this site: /1 D i V
Proposed use: Op 4Dryl 64 c- 6,-k1 CZ /N►- -A •r a f cSn—lzn s
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 wn or h e e e p rmission to use the space indicated on this application. I also certify that the information provided is
true and accu to to th b st of y have read the conditions of approval, and I understand them, and that I will abide by them.
Signature Printed 1 ✓� v `c`� l
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APPROVAL INFORMATION
Approved as proposed [. ]Approved 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.
[ ] This site complies with the site plan as of this date .,ur«.M.••
1)Lvicc aud/Or ..
Building Official o Date 6 14z- ( �
Zoning Official _ Date
Other Official Date
1� �a- -- .................................................
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C unty of Albemarle D p rtment of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126 10/14/05 Page 2 of 4
Reviewer to complete the following: I
Square footage of Use: e
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ermitted as: r� (91 Lai
Under Section: 4. a (� GJ a 3. 02
Supplementary regulations section: ✓✓�il>
Parking formula: �V(Op /V�
Required spaces: �3 -Gtr
It
Item be verified in the field:
Inspector Name & Date:
Notes
10/14/05 Page 4 of 4