HomeMy WebLinkAboutCLE200600153 Legacy Document 2014-08-13y,
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Application for Zoning Clearance
OFFICE USE ONLY p
El Zoning Clearance = $35 CLE # %_(�cO & V /
PLEASE REVIEW ALL 3 SHEETS Check# Date:
Receipt # 60-S [) Staff-
PARCEL INFORMATION p� 1...
Tax Map and Parcel: Y' 13 2O rLU Existing Zoning
Parcel Owner: 13 l—S F f— oP rI P- I1 cs ulc
Parcel Address: CaL13 Qey\ vioock S- LtI M City QA' \/ItCQ State VA Zip "=9 0
(include suite or floor) - ---------------------------------------------------------
- --=---------------------------------------- - - - - -- ---------------------------------
PRIMARY CONTACT
Who should we call/write concerning this project? 6E7Q P,"--- i5 �—>eSy q
Address : Cr�qO gGl21Lt'VLa i� GI IZ GI-t; City C�� Gi '� iro i DES stateL� VA-- zip
Offlce Phone: jqLA a1 � 'M (p(" Cell # Fax # 11 '0 (l � E -mail
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PROJECT INFORMATION
Business Name/Type: J LkD'( _':� A<VA(r, G O :F P"l C i✓S
Previous Business on this site: P D N L—
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 owners 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 approvalapd I understand t� erp, and that I theme
Signature Printed W J A`
-- - - - - -- ---------------------- -- - - - --
APPROVAL INFORMATION I � • � Z • 0 (o
14 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
r plan.
[ ] This site complies with the site plan as of this date.
Building Official
Zoning Official
Other Official
Date. 6 ZR j o b
Date
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
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Reviewer to complete the following: )/ I
Square footage of Use:
/N
'Permitted as: /,Y"�OLAW
Under Section: v�b & -a I mot.
Supplementary regulatio s section. v V
Parking formula: GGYr�I�
Required spaces:
Y �
Item' to be verified in the field:
Inspector Name & Date:
Notes
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