HomeMy WebLinkAboutHO200700270 Application 2017-07-17Name of Business:
Application forA
Home Occup.4ion Class A Permit
Occupation CIass A Permit = $13.00
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Tax map and parcel: 02 _-00--/0? Q d Magisterial District:
Physical Street Address (if assigned): L,dn ic&v-a Waq
Location of property (landmarks, intersections, or other): %h 0�evl t W oL
Zoning:
Contact Person (Who should we call/write concerning this project?): 1kO beri !H • -ai
Address .zI1 o L6viic&y-d- WM City l esl/r�i�e- State Vt+ Zip
Daytime Phone C4-511 %2f ^D$ ft Fax # E-mail r �0.F ✓1V' f l'11Q . Lt
Owner of Record of S edoo me —
Address
Daytime Phone ( _)
City
Fax # C__) E-mail
Applicant (Who is the Contact person representing?): w— CC$ ALOwe
Address
Daytime Phone C__)
FOR OFFICE USE ONLY
City
HO # 2 nn?. "-
E-mail
State Zip
State Zip
Fee Amount $13"' Date Paid I I -1t"C7 By who? T Receipt # By:
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
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