HomeMy WebLinkAboutCLE200600159 Legacy Document 2014-08-13Albemarle County Department of Community Development
Fee of $35.00 File #: Cate���ll�
Application for Date: 0
n Clearance Recept# Staff: �(s
Zoning ,
Tax Map /Parcel:
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Parcel Owner: A4 .r d
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(include suite or floor) /a 1
Existing Zoning:
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Who should we call /write concerning this project? 0//( A%o'e-7
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Q. c Office Phone: �,7j' 9/,3 �,3� Cell:
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Fax: E -mail: ,3120���M)_�__�%
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= Business Name/Type: L!!
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Previous Business on this site: A�6-���,�,`�.��
Proposed use: -- —
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'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.
Signat .� Gam- Printed ...... .....
...... ................................ ........
..........................................................
( ) App vied as proposed ( )Approved with conditions
Building Official
Date
Zoning Official 'Dwim Date
? D4�
Reviewer to complete the following:
Square footage of Use:
❑ YES L .] NO'
Permitted as:
Under Section
Supplementary regulations section:
Parking formula:
Required spaces:
❑ YES ❑ NO
Items to be verified in the field:
Inspector Name & Date:
Notes
5/1/06 Page 4 of 4