HomeMy WebLinkAboutCLE200500129 Action Letter 2017-08-0105/26/2005 11:33 FAX 434 972 6221 ��m���EnvIronmenta a�rHa Health
4.pplication for ,Zoning Clearance
ALB Bldg Insp Q 002
RaY LD LUU9 11;36 w
QFF1iCE ONLY -5 - . I
`Zoning Cleamace z S35 CL #
Check # Date: 0
PLEASE REVIEW ALL 3 SHEETS Receipt# Stag:
PARCEL MORWATIO
TttxMxp and Parcel:
Parcel Owpas- ! 11 T' .v-
R CEIVED
Parcel Address _ My State Zip
------------------- - ---� c[udt xultearflaor�,-,,--.----------- ..-•----------------_ _.___-. --- __..------ �"IAY-2-b-M5------
APPLICANT INFORMATION
Who should we egWwdte cauc^e aing this project?
1
Address : x-�FL�a, r o ; -e State
Office Rhone, AA / Cell # (4 Fax # Z.3--' • 99E-tnaii
PRC" lmol
Business Nimdrype:
Previous Business on I
Proposed use:
ENVIRONMENTAL: HEALTH
Zip-�'I�rd V-i
I ,
/ � fil,61 ,
Circlr- (if applicable): Fireworks / ChtisWasTrec
SE¢ CONDMONS OF APPAO'VAL JY THE CLEARANCE IS FOR FMEWORK OR CB=TMAS TREE SALES (Sbeet3)
"This Clearance will only be valid on the parcel for which it is approved. If you change, intensify or rmve the use to a new location, a ns=w Zoning
Chwwoc will be required,
48:,cctho
or have the owners permission to use tie space indicated oa this application. I also certify drat the ioforuradon provided is
true�t of my irno�+ ga. I have rcrd the cvn4dow of approval, and i undasWd thM and that I mll abide by than. Prnoted
APPROVAL INFORMATION
( ) Approved as proposed
v
(rS)Approvedwith conditions �
BmUdiung Offiew Dante s
zaailms Official Die
Other Of ci
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"N'�_�. it .
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CouL�ty of Albema�rle-Depalrt7lmlea It of Community Developxrx
401 McIndre Road Charlottesville, VA 22902 Voice: (434) 296--5837 Fsm: (434) 972- 4126
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