HomeMy WebLinkAboutCLE200600177 Legacy Document 2014-08-20A pplication for Zoning Clearance
. .
OFFICE USE ONLY
❑ Zoning Clearance = $35 CLE #
PLEASE REVIEW ALL 3 SHEETS Check #— Date:
Receipt # 0 Staff:
PARCEL INFORMATION
Tax Map and Parcel: # 0j*8ft "— 00 — 00 —0=54 3 A3 Existing ZoningI v`
Parcel Owner: Qie �'( Cojy �--�
Parcel Address:C%sl ap_ City l ,hadtc)'=Atate
_______(include suite or floor)
RI MARY -- .......................... - -- ----------------- - - - - -- --------------------------------
PRIMARY CONTACT - - --
Who should we call/write concerning this project? �Q .,, �� jl'�'�� -� (�
address : 1 Cho2, ( r, ZQ %Jl -le- 301 city QDr ' State �� zip C I
r 1
Office Phone: 3 20— o d'Dte. ell# � Fax # 1 p' .4S -QQC(
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PROJECT INFORM4TION
Business Name/Type: f-'.l Y-I�No ke- a 14 -)r'o )'t?, d'� IV-0 ill ia,
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 accurst the best of my knowledge. I a e read the conditions of approval, and I understand them, and that I will abide by them.
'Signature Printed
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.11 - - ---------------------------------------------
APPROVAL INFORMA ' ON -------
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[VApproved as proposed [ ] Approved with conditions
[o,/Backflow device and/or current test data needed for this site. Contact ACSA 977 -4511, x119.
[ V]'No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing
site plan.
[ ] This site complies with the site plan as of this date.
Building Official Date —1 /'a t L
Zoning Official Date �o
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
Applicant to complete the following:
Y/N
Do you have one of the following?
Tax Map and Parcel Number and or;
Address of use (include unit or floor if appropriate;
N
o you have a Floor Plan (sketch or an architectural drawing) that
includes the following, and if so please provide it with the
application? S PA GMaC.S QCA
The total square footage of the use and/or;
The square footage of each room or area of use;
Use of each room or area
If using less than the entire structure, note the location within the
structure.
RCcR-� e Gi
Reviewer to complete the following: 2�
Square footage of Use: Q 99j
`Y /7 N
ermitted as:
Under Section:
Supplementary regulations section:
Parking formula: I hoo
Kgo-
e
Required spaces: (4,40A.
ItetnObe verjW in the field:
Inspector Name & Date:
Notes
C�p �00� -J� 5 &W�(2-� Oa�� ���
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