HomeMy WebLinkAboutCLE200600281 Legacy Document 2015-02-10Application for Zoning Clearance
OFFICE USE OI�YOO /
ning Clearance = $35 CLE #
Check # / / 1
30 Date: 11-4z--60
PLEASE REVIEW ALL 3 SHEETS Receipt # Staff:
PARCEL INFORMATION /
Tax Map and Parcel:
Parcel Owner:
WE
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Existing Zoning% C0 r -n
Parcel Address: ,/�lJ ��/ City O State Zip f-V
_______________ ___________ _(include suite or floor)_______ -
APPLICANT INFORMATION
Who should we call/write concerning this projecctt ?� �j�
Address :_9(p O lG%����j // %S /�-� City State ! Zip �f Plw
Office Phone.'K9 �7 � � Cell # ` 0�/ I, # J� / E -mail 5/T�!%�C
PROJECT INFORMATION/
Business Name /Type: o
Previous Business on this site: ' y
ProDosed_use: / 25lam/ Y,/ �,Ao8 V
W,
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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 ✓
Printed
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APPROVAL INFORMATION
( ) Approved as proposed ( ) Approved with conditions
Zoning Official Date
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