HomeMy WebLinkAboutCLE200600155 Legacy Document 2014-08-13(OR 901
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Application for Zoning Clearance
OFFICE USE ONLY C
Zoning Clearance = $35 CLE # -Z , & ° ' �.✓
PLEASE REVIEW ALL 3 SHEETS Check # Date: " C
Receipt # Jo 0 Staff:
PARCEL INFORMATION /
Tax Map and Parcel: a0 ` W (J - 0 5'Q0 -Q / '9- 0Q Existing Zoning
Parcel
s'u 1'�elq S ' "` ►Y- `
Parcel Address: 11190 's�'1 /U(D i� T r l City C h V P 11 P_. State V0- Zip �/
(include suite or floor) -
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PRIMARY CONTACT
Who should we call/write concerning this project? ��� vh 14, U
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Address: i/ WO Se", t-'. 1Q_ -'r..1 1 g T City C f v;llz State yt4 - Zip - 2-Z `i6 1
Office Phone: L_) Cell # Fax # E -mail
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PROJECT INFORMATION �g
Business Name/Type: a; ,ti5 S2J tr,t'� o� V r- -57A
Previous Business on this site: _72�4�1121 YU 11.12 t �e
Proposed use: eel 1 j , - C-erd r••�
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.
Signature 1' , Printed "'T(n o+M ei f f z
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APPROVAL INFORMATION - -
Approved as proposed [ ] Approved with conditions
[ ] Backflow device and/or current test data needed for this site. Contact ACSA 977 -4511, x119.
r itephysical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing
ite plan.
[ ] This site complies with the site plan as of this date. �pd/ap
19
Building Official -cam _�- �-.� -Date a cS 06
Zoning Official ilil� c Date
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
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Reviewer to complete the following:
Square footage of Use:
N
Permitted as:{rt1
Under Section: %1.7 . o� 7J ,` all k
Supplementary regulations section:
Parking formula:
46 / r'
Required spaces: p t r"?
Y/N
Items to be verified in the field:
Inspector Name & Dater
Notes
10/14/05 Page 4 of 4