HomeMy WebLinkAboutCLE200500245 Legacy Document 2014-12-02Application for Zoning Clearance uo",n,4""
OFFICE USE ONLYnn )
Zoning Clearance = $35 CLE # l
Check # Date: (�
PLEASE REVIEW ALL 3 SHEETS Receipt # - Staff: N1.
PARCEL INFORMATION
Tax Map and Parcel: i(���� —I E:' Existing Zoning
Parcel Owner: l� rl t V V" 5 i J,-1 yCt- .
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Parcel Address: Qoc, GxAcs xl--� ik V iQ*k, City ��1� V t �' State V a Zip
_______ ____________________ (include suite or floor)___
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APPLICANT INFORMATION
Who should we call/write concerning this project? Cv`��C!1`1�1 1- Q
Address : yq ?;,Q- CC_,,.X�L,_L 'r - jt U -ky- City 0,"" V AC State • �'di Zip
Office Phone: 40t(c1 41%9 Cell # Fax # WI 6 -66,31 E -mail
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PROJECT INFORMATION y --
Business Name /Type: ry)n4 IC.C? �' C3 Lo,( f1e__, -TV-,a:% ►3" Q ��f�
Previous Business on this site:
Proposed use:
Circle (if applicable): Fireworks / Christmas Tree
SEE CONDITIONS OF APPROVAL IF THE CLEARANCE IS FOR FIREWORK OR CHRISTMAS TREE SALES (Sheet3)
*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 0V.."_ l ii tf zuc: z� Printed
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APPROVAL INFORMATION
( ) Approved as proposed ( ) Approved with conditions
Building Official - Date Gj<=t '1 j
Zoning Official Date I
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