HomeMy WebLinkAboutCLE200600156 Legacy Document 2014-08-13Application for Zoning Clearance
OFFICE USE ONLY
Zoning Clearance = $35 CLE # 7 0 -
PLEASE REVIEW ALL 3 SHEETS Check # 117411 Date: (Q
Receipt # 44 In'sa 3 Staff: beo
PARCEL INFORMATION / �. 3Q4 P --T MP-) C- W
Tax Map and Parcel: Or7 ?.0 - 0C9 - y ®07_g 4 S Existing Zoning PD M C--
Parcel Owner: �� 14KT' 1N V 657 /14I' uT CO. r' � 50 4 pa✓l 0125
Parcel Address: ,J5 y /yi 1J,54W - 9444/e/ City Cka��JJ/1 :� State 4114 Zip 2 ?-IF//
(include suite or floor)------------------------------------7-------------------------•-----------------------------
PRIMARY CONTACT
Who should we call/write concerning this project?
Address :��T� ��vBYO � t/'� city C it i State !/%P Zip 2- 2s/�
Office Phone: &Y) Cell# Fax# Zg 'jib E -mail
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PROJECT INFORMATION
Business Name/Type: VSGJ[Ch St—GE- P 1N57774I7Z - /
Previous Business on this site: fV'L°cJ �juc'l .'w 5. (/ �T -Wsca+t'1`�
Proposed use: d csbew C tsc r4� - drKfC.
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 accur t the Pest of my knowledge. I %have read the conditions of approval, and I understand them, and that I will abide by them.
Signature • V' `� %��CO� Printed ^ p#L -XjU f%i , /Z( �L %bA)
- - - - - -- --------------------------------------------------- - - - - -- .............. --------------------------------------------------- --- - - - - --
AP OVAL INFORMATION
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 deter, mination of compliance with the existin
p .rrw.rwMM
site This site complies with the site plan as of this date. BCl�iitriA� DCViQC ���
car" reed Tat Data Necdc4
Contact ACSA a
Building Official Date ___ �f ° C.
Zoning Official �� /Lt Date
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
Reviewer to complete the following:
Square footage of Use:,
Q N
mitted as:
Under Section: 0
Supplementary regulations section:
Parking formula: 1 V1
Required spaces: ►-��
Y/N
Items to be verified in the field:
y
3500 Z
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Inspector Name & Date:
Notes
1U /14/U5 Page 4 oi: