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HomeMy WebLinkAboutCLE200600160 Legacy Document 2014-08-13r Application for Zoning Clearance;: OFFICE USE ONLY oning Clearance = $35 CLE # Zoe) to ` PLEASE REVIEW ALL 3 SHEETS Check # l / 1 7 Date: 6- ZO �Dlo Receipt # Staff: PARCEL INFORMATION C e Tax Map and Parcel: Cr} (p � 00 " C�--� —/ o? �� d Existing Zoning rn rn � ,(► Q Parcel Owner: V Parcel Address: J Q 1 © f'�[.t S �iiy, ` 2o / ['��,tn�ll� State �%, Zip Z oj - - - -- (include suite or floor)-------- - - - - -- - ----------------- PRIMARY CONTACT C)g- n �[ �e�� Who should we call/write concerning this project? t"t Address: l.$a..& C N\Qr� C7 City C-- U 1 State VA Zip ZZ� l (i� h � Office Phone: (1�-3 W -(s� Cell # SQ, NkQ- Fax # E -mail G �CLCQQ �1C LkG �1 5 . C Gr) ------------------- PROJECT IN'ORMATI N �- Business Name/Type: 1 CG> 5 C. k. fa mA IG - r-.C_- Previous Business on this site: �j 1 �5 Proposed use: �,1nC rn0f;✓ a -ICr &t)--u 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, anew 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 �. A Printed An ( — --------------------------------------------------=-------------------- - - = - -- ---------------------------------- ROVAL INFORMATION pproved as proposed [ ] Approved with conditions [ ] Backflow device and/or current test data needed for this site. [ ] No physical site inspection has been done for this clearance. site plan. [ ] This site complies with the site plan as of this date. Contact ACSA 977 -4511, x119. Therefore, it is not a determination of compliance with the existing Backflow Device and/or Building Official Date. --t 111 ('C' (, Zoning Officia Date 7// 9 /0 6 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 `� y- 2 -1 Reviewer to cdmplete the following: Square footage of Use: /N ermitted as: rn� J Under Section: Supplementary regulations section: /�1101- Parking formula: Required spaces: Y/N Items to be verified in the field: Inspector Name & Date: Notes 1V /lY /VJ 1 ar, -