HomeMy WebLinkAboutCLE200600149 Legacy Document 2014-07-30tiL� nr.r,F,
Application for Zoning Clearance
OFFICE US NLY 6 W
oning Clearance = $35 CLE # `y
PLEASE REVIEW ALL 3 SHEETS Check # Date:
Receipt # 9 Staff: .b
PARCEL INFORMATION
Tax Map and Parcel: O ! 00 6000 — 0 1 .7 & d Existing Zoning
Parcel Owner:
Parcel Address: 1435 Sc-o -h}S v)—Ile— !J>rY- City 0— h,1/'/ //e- State Vex-- Zip Z Z �7 Z
(include suite or floor)
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PRIMARY CONTACT
Who should we call/write concerning this project? la. %��/' /��/y c%dl�t` Sp�' ,•
Address: ? � 6• Z,OiC' /0y City 0/4"'7— State
Office Phone: Cff6 2-F� - 2240 Cell # f�d —496f% Fax # 2-"-P '67 E -mail
PROJECT INFORMATION
Zip 2 Z%7'7
Business Name/Type: n '7uz 20 G yC4 C'5
Previous Business on this site: 41
Proposed use: ,c,
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, intensifyy 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 have read the conditions of approval, and I understand them, and that I will abide by them.
Signature
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APPROVAL INFORMATION
[ ] Approved as proposed _
[ ] Backflow device an or current test c
[ ] No physical site i spection has been
site plan.
[ ] This site complies ith the site plan
Printed �'°i ✓�o�r G� 1%.�', .
with conditions
P*-fiTa`ct ACSA 977 -4511, x119.
Therefore, it is not a determination of compliance with the existing
Building Official Date
Zoning Official TJO D -* 4' C!;f� Date 4,13 D10
Other Official Date
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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