HomeMy WebLinkAboutCLE200600157 Legacy Document 2014-08-13a— -7112-104 U—IT_
Application for Zoning Clearance
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OFFICE USE ONLY j
[Zoning Clearance = $35 CLE # 21' (o
PLEASE REVIEW ALL 3 SHEETS Check # I CO Date: Co I I
Receipt # O Ci .-5 ,Q� Staff•
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PARCEL INFORMATION
LioJ1�i' '�r1cl�ts`I't'iAl
Tax Map and Parcel: 03 OL ® Existing Zoning C -
Parcel Owner: M i Ke mnnicA Seale
Parcel Address:—! b u i R,.A A City ChAV 1044e_S V i (I State (/A Zip
______ __________________(include suite or floor)
PRIMARY CONTACT
Who should we call/write concerning this project?
Address : 11'0 3 I Ql A i t Run City Cb Ar I n+t eSV i (CS,tate VA Zip a a 4
Office Phone: c
!a j8 -114 i Cell 1 2_ J E ail nl c AS4e Ale 0AAe4A A. ne-
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PROJECT INFORMATION a
Business Name/Type: --fi- c h AAds G-A sk - wJ001 a sde-r re-hi l '_1^ '0¢ -I't-t.I C K L
Previous Business on this site:
ALA-oft-Vive FlNrt5 4 ACCessori -eS
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 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 r., A ,LA-L Printed Mnn; C A i^ SP A �e
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INFORMATION
r[Appn�t proposed [l/ J Approved with conditions
[ ] Backflow device and/or current test data needed for this site. Contact ACSA 977 -4511, x119.
[ 1'Go physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing
site plan.
Building Official , .,� ¢-�-- o Date C (I b
Zoning Official c Date �� /�6
Other Official Date
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Cou ty of Albemarle Department of ommunity 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: 5 "t
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Square footage of Use:
Permitted as: a I l
Under Section: W (�
Supplementary regulations section:
Parking formula:
to
Required spaces:
Y/0
Items to be verified in the field:
Inspector Name & Date:
Notes
�x, I 1 94-- 75
10/14/05 Pave 4 of 4