HomeMy WebLinkAboutCLE201700266 Application 2017-12-08Application for Zoning Clearance
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CLE #. t
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OFFICE USE ONLY
PLEASE REVIEW ALL 3 SHEETS Check # Date:
Receipt # — Staff:
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PARCEL INFORMATION
fax Map and Parcel:C t l' "c'-0-go /<9 Pt Existing Zoning_
Parcel Owner: i\j _ { T�{�C
ParcelAddress: l i roc _City, ._ ie f� v t.is" State '✓ t�°t_ _ zip
(include suite or floor)
PRIMARY CONTACT _ t
Who should we call/write concerning this project?
%tldress ; a..}�� .. t City L'Vjkk'\:'' ` tl State ?)r _.___.. lrfx -i _C
Office Phone: (±� aqg, j j Cell it
APPLICANT INFORMATION
Check am that a
of off nership Change of use Change of name . ��' New business
Business Name/Type: VA
Previous Business on this site—' 41e____,�'fet
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04400
LLC.
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
vehicles, and any additional information that you can provide-.,
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I hi, Clearance will ollk he %alid on the parcel tt)r tdlich it is appa ed. It you chant;c. mtensir� or move the use to a nesv loeatiun, a ne« Zonimi
! learancc will he reyuir • 11,
.a ,., •. �c tl 'il
I hcr;•h} ccitilt il:ai 1 to o have the uttta�r'S pclnussion to use the space indicated on this application, 1 also urtil� that the ittfitrtnatl na plc. d�
s tr Ile trod ittcuratc to tc ,kt st 'I"tnv kno> d. dpc. I have read tile conditions ofapproval. it td I understand them, and dtaf 1 will abide by ttldm.
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AI'I' O� 4L INFORMATION
1ppr ied as proposed ( ] Approved with conditions ( Denied
j f 13 ilcn+ prevention dev ice €tnd or current test data needed for this site. Contact AC'SA, 977-451 1, a 1 IT
j ct phv su,al site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing
Site plan.
( ) I his site complies with the site plan as of this date.
Notes:
d
Printed",- ..
[;uifcling Official hate j z/ /;%
Zoning Official Jp ' I _ Date
Other Official Date
County of Albemarte Department of Community Development
401 Nlclntire Road Charlottesville. VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Revised 1 1/0-1/20 15 Page 1 of