HomeMy WebLinkAboutHO201900231 Application 2019-08-30Z3
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Application for � �Z:
Class A Home (1,cctipati€�ll �,lE'6II c$II€I'
�I Home Occu r<itiotI C. A Clearance 527.00
c ir/;uirxt t inss r -An oceupatiort; nut cxpicsslc prohibited !?\ section .� ', conciuctCt' (or profit ccithii a dcc elhng
unit solely by cue t r more n °rnhcrs of the farnih Cstiiing within the dcccllimg unit. proN ;(led th t nothing helei, prohibits the
occupation rlt�r,� cngag;ig Diket person) c%ho vcork- oft=site and do not come ur the d �cliine unit to cnga4e in the occupation.
� \'a me of f3usincc.:
r-
�s -kz- a13-�
eap and parcel: ��- �—_ %onin : ��
( onlacy Perron t \ ll,•in�.;!,I +t .'a.li ai i e er,n�trnu ,t};•: t7n,)cct"1 Nro r, Va-' 0r-v
3y°loI Cam-/, ReS,,,�r�c,kVA
t)d}limi i'hvrc i !3 Z—8l/:-. -- 1 ( _
(haneruf Kccurd a �, pe�
t �.+
:Aodreri
Uavrun lahome 1 r
�f � :. ecr(i(le.itc, ii� uniuricuini cc ilh i t _i= �� rice �e rcpr c� i:• zc :n.� apl rtrc.i lt. +n;iur' the <_�ias:, 1 l ie'"�itlfled ;ibotic f ach horde occupu <<ii is,ui,)ect u, [l e f()lioNrin,: lunge Uccxrpatian
PLEASE CHECK EAC'II BOX SO THAT IT IS CI_LAR TIi AT Y0(,I IIAVE READ
AND UNDERSTAND THE REQUIRE MI',"NTS FOR THIS CLEARANCE
&E_OCA7ION CC AREA
[he home occupaliim shall he corriueied cnfirelh ceitliitt the dccCllinI_t unit. prov itled thta not nuxe thiin t�centy-fine
(2` a perceri� ,,,f itie rocs llooi aiea ut the Jvtieliing un t shall be used for the -ionic occupation and further po'v ided
:hat do gross floor .rca us
(Scctiun S,2 (b) l)j e(! ti)r the )ionic occupation ,hall not exceed one ihousand titre hundred { 1500) square feet.
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12 YX-1 PRIOR APYF:AR:A:tiCT?
ilierC ytrall tic no ch _i ut Lt fir. exterior apl,)c<irance ofa dccelliri�� unit or other c .:iL;c ec iciencr of'!he eoriduct of,!
hortte uccupa,'ori. I5ection 5.2 {c) ])I
ZS A I . YS
\4, 1 r nic occ u1 9aiiln 1 i! >c 1i cads to a cus omcr crlte ec mLS to file site eNzept for goods Ihiit arc hand-cl<I1ted on-
itc JE,i L;oods ser?d tlist are dtrectic rel steel tc t beauty shop or a une ):burr barber shop hoir;e occupation.
[Section 5.2 (d)]
('tritof ,Allrerr,trrle Department of C'ornnownit} 1)cN,eloprncnt
Jf}1 .' #clntirt l�oatl f hrrriott+�c,ille, VA 229t12 V'nine: (-i?-1) 2965INP F'��t.: 0?J) 9-2-4i?F,
01"lRAFFIC
the lm!llc -"cat. ated by j lame" try uijvnon s11,311 not c\cecd Iire %olun ,: that "rould normall.\ he eApceted ill, a
�iuellinl uni; rn J 1cs;JcHPJI nee hIlk),Iwo, ISection -�.2 (e}1
l',ARKING
Ail rehielcs used i'l 3 hwne oc�upa;ton rnd all vell i.!Vs of Cwlomu:>, clients or " be parked oll-site.
(Section 5.2 (1)I
iITRFORIGINCE STANDARDS
1 Ile riomc occupattion shall with the periormance,tandaids in section-1.I.1. ISection 5.2A (k))
Does the use invoihe procc(IIII-cs, Ill jellllEel-! ()r ell CMiCaIS that mac cause the following! No
YES NO
NOISE'
J`
VIBRATION
—_.__t _l
G LA R I._
---_'
ti F A T
AIR POLLUTION
WATER POLLUTION
RADIOACCtb'IT1'
EL F,,C'TRICAL DISTURBANCE
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NON -DO SEE STIC WASTE' DISCHARGED TO A SEPTIC FIELD OR SF'NN'FR
If YES, then applicable standards must be addressed r%ith a C'erlified Engineer's Report (mailable from stal'1).
1�11Rt)HIB11'F:D UtiEti
I he ioliov� inrt uses urc cNprc-i prohibited as home occupatiojir' ( 1) tourist lotiLinL: (21 nursing homes_ (;) nnrserc
Schools: (4) (Lr) care ccnte s: and 0) privaie schools. ISection 5.2 (h)f
1'1 A 1\'FRti AND MOMFICATI(1.ti'S: 1lie aho\c standard, are cf �JNC ftrr u;aner or h� t!rc 1'l.rrrni,te.
C om m sioii, .Ask staff [W' tta(rrc inforrsdatiort Abl) i applicable lees and princess. ISeclion 35 and Section 5.11
Owner/Applicant Must head and Sign
hert+\ appiv tur 311procdi to conduct the tit}me Clecupation iderttilled above. and cerlily fhat this address is m} legal
residence. I also ccrtifv that I hat e read the rc.;trictions on Home Occupations. that I understand litcm. and that I l,+'ill abide
by then,_
SiFr3ature of O��ner .Applicant IX1
Prir.l ,Aa,n?e Ua� t;r:m i �rr,r;c r,iiai,cr r+i `:atui _ __�
Dale
I�NC;Is%,Ff R'S Kf?.('0K I is I TAC111.1): 1'I':S ` 0 u r
C`ONDI IIONS: