HomeMy WebLinkAboutCLE200600152 Legacy Document 2014-08-13Application for Zoning Clearance ::ry 1::
OFFICE USE ONLY
❑ Zoning Clearance = $35 CLE # -Z.CC) to % c
PLEASE REVIEW ALL 3 SHEETS Check # _L,15 f Date:
Receipt # �(�-, ��� Staff:_
PARCEL INFORMATION
Tax Map and Parcel: � 1 1 101 d (0 4' Existing Zoning_ _ I,;
Parcel Owner:_ e. 2 2 z \ ) A -t L, �-AASJQD O
X13 (re to �o �1 �� '6 v�-e� LA/ U to 1 � �t 1 pEJ
Parcel Address: i GIB VA'Lz' State
(include suite or floor) -- --------------------------------------------------
PRIMARY CONTACT
Who should we call/write concerning this project? y
Address : c7 ot o . e,�, iLrKa X22 Cyr-- City VH i Vt LA-C State LA Zip
Office Phone: ! b "cell # ��3 a' Fax #1 o [ t SE -mail
- PROJECT INFORMATION
Business Name/Type: e , fAv%- ct cu t... tC-cut 5 rU 1,,3 Ge-�
Previous Business on this site: N 6 f\J e'
Proposed use: U^1Vy F'l Iz-
I�1
Circle (if applicable): Fireworks / Christmas Tree N Q 1 A -1- L \ C--a V r
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 bestof my knowledge. I have read the conditions of approvalan I e land themad tha i�abide m.
Signature Printed
------------------ ------- --------••- -- --
APPROVAL INFORMATIO- - - - -- - ... - -. --------------- '• - - - - -- -------- - - - --- -- -- ---' D - --
�
['A 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. *.._.._,...,,..,
Building Official Date. o to
Zoning Official Date 716/0 (o
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
i
Reviewer to complete the folltkigig�
Square footage of Use: UU
/N
Permitted as: //11 cnlGt
Under Section: QV A -4r
Supplementary regulations section: /I
Parking formula:
Required spaces:
Y /
Item o be verified in the field:
Inspector Name & Date:
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