HomeMy WebLinkAboutCLE200600151 Legacy Document 2014-08-13PAr
Application for Zoning Clearance
OFFICE USE ONLYqq,�
❑ Zoning Clearance = $35 CLE # UB
PLEASE REVIEW ALL 3 SHEETS Check # 1.59 �f Date:
Receipt # &2 a O 7 Staff:
PARCEL INFORMATION 0-01 �np- �k �
Tax Map and Parcel: D _ — (c):3 " t o Z Existing Zoning D 1/
Parcel Owner: "f-.1 PLC-, �I/Lo n OL 1-1 k�§ I LL'G
�1'�3 � I einv�on� Si�l,�irn �� " 1,-u -�.I� i OR, c�,�.ae 103
Parcel Address: City Gill' vi tb- State \/GA Zip ==i—o 1
___ _________ ______________(include suite or floor)
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PRIMARY CONTACT
Who should we call/write concerning this project? Ray
Address: 1A O d MlLVVLa (z— GQ (Z • City C+1 � V i L LAC State Zip
Office Phone: (4 ( Cell # W M S 21 Fax # 9-1 2� O L L �( E -mail
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PROJECT INFORMATION ]
Business Name/Type: O I "Cla Y/6us / 61� C'e 6
Previous Business on this site:
00 015
Proposed use: "Oru'& A-G i✓ Cv w+ PAS
Circle (if applicable): Fireworks / Christmas Tree 1\3 OT " p r U eA h (_.e-,
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 nd I understand them, and sssyy�tt1����gqqss��� I wi I�_\111�j1��{L'�y them.
V .Z
Signature Printed Jam.
APPROVAL INFORMATION
�41 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.
13ack#1ow Device And/or
VUrfffiff Uit Data
Contact ACSA 977 -45I1 z€ 119
Building Official Date. c- 016
Zoning Official Date 7lSoD6
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
Revievyer.to ::.omplete the following: I�
Square footage of Use:
/N
ermitted as: �i y h-4� II I -A v l iAzz,
Under Section:
Supplementary regulations section:
g�_ S� f
Parkin formula: ,{
Required spaces: I D I�'Lr
Y/
Items a verified in the field:
Inspector Name & Date:
10/14/05 Page 4 of 4