HomeMy WebLinkAboutCLE200600148 Legacy Document 2014-07-30`tS4 .11.It
b Jit II
Application for Zoning Clearance
7itcx�i`r:
OFFICE USE ONLY
Zoning Clearance = $35 CLE # 2 C_X:�) Ce ° F
PLEASE REVIEW ALL 3 SHEETS Check # Date:
Receipt # G Staff.
PARCEL INFORMATION
Tax Map and Parcel: oq 5 al — 0 C•— Cam' oo' kqb Existing Zoning 144 /) rs.1V 06 ;-1'L
Parcel Owner: 14 e i- m a ry L ,S &L
Parcel Address: zz 73 S (- ml A10 0e rem City State Zip
(include suite or flo ................................................................
-
........................... ------------------------
PRIMARY CONTACT
Who should we call/write GJ ririite concerning this project? Mbu tj <j� m °d e) '
Address: � Jp iitd �i City C �t <I/^� .�,�� /C /P State [��, Zip;W'd i
Office Phone: 090/—) Cell # Fax 9� E -mail
................................................. q__.._._.__... ..............._...............
PROJECT INFORMATION /�
Business Name/Type: Ale,y� y &th l?/l�ol� l-�o-.�.� U =ehe%^ y5/� /%
Previous Business on this site:, v a eah G , atR
a
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 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.
Signatur Printed AQ6214 J4 Q!
=- - - - -- ---- - - - - -- = === - - - - --
APPROVAL INFORMATION Bacicilov D +ce`and/oir " °.
�Q] Approved as proposed [ ]Approved with conditio s Current Test Data Needed
[ ] Backflow device and/or current test data needed for this site. Contact ACSA 977 -4511, x1 Contact ACSA 977- 4511,x 119
No physical site inspection has been done for this clearance. Therefore, it is not a determination o comp rance witn Me existing
gtte plan.
[ ] This site complies with the site plan as of this date.
Building Official Date
Zoning Official c Date
Other Official 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