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Home My WebLink AboutHO201900226 Application 2019-08-30s I OR OFFICE USE ONLY Fee Amount $ Date Paid HO # — By who? #M _4 -+-�L ZG ff ref 0 psi Receipt # Ck# By; Application for Class A Home Occupation Clearance ❑ Home Occupation Class A Clearance = $27.00 Home Occupation, Class A: An occupation, not expressly prohibited by section 5.2, conducted for profit within a dwelling unit solely by one or more members of the family residing within the dwelling unit; provided that nothing herein prohibits the occupation from engaging other persons who work off -site and do not come to the dwelling unit to engage in the occupation. Name of Business: U� yr^ Type of Business: Tax map and parcel: WA — (�) — W I OI Zoning: Contact Person (Who should we call/write concerning this project?): /�4�Oc�..: \ q �A� u \ j,� ;yA Address "T 1✓t,�y�p yi p 1� C� City fAcr��^.w- - _ -- State Fk\_ Zip �' 4 Daytime Phone t 9 2 7 9 7 6—T-- Fax # �) E-mail y11 Owner of Record I-1 °lam c��t E�#� _ pip Address t& � a City �rVy State Zi Daytime Phone c y 227 9 Fax # E-mail KVAWIV ((( P! I , s This certificate, in conjunction with a business license, represents Zoning approval to conduct the Class A Home Occupation identified above. Each home occupation is subject to the following: PLEASE CHECK EACH BOX SO THAT IT IS CLEAR THAT YOU HAVE READ AND UNDERSTAND THE REQUIREMENTS FOR THIS CLEARANCE LOCATION & AREA The home occupation shall be conducted entirely within the dwelling unit, provided that not more than twenty-five (25) percent of the gross floor area of the dwelling unit shall be used for the home occupation and further provided that the gross floor area used for the home occupation shall not exceed one thousand five hundred (1500) square feet. [Section 5.2 (b) 1)] EXTERIOR APPEARANCE There shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of a home oc upation. [Section 5.2 (c) 1)] SALES No home occupation shall sell goods to a customer who comes to the site except for goods that are hand-crafted on - site and goods sold that are directly related to a beauty shop or a one -chair barber shop home occupation. [Section 5.2 (d)] County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 11/1/2015 Page 1 of2 TRAFFIC The traffic generated by a home occupation shall not exceed the volume that would normally be expected by a dwelling unit in a residential neighborhood. [Section 5.2 (e)] PARKING All vehicles used in a home occupation and all vehicles of customers, clients or students shall be parked on -site. [Secti n 5.2 (f)] 10 PERFORMANCE STANDARDS The home occupation shall comply with the performance standards in section 4.14. [Section 5.2A (k)] Does the use involve procedures, machinery Or chemicals that may cause the following? YES NO NOISE VIBRATION GLARE HEAT AIR POLLUTION WATER POLLUTION RADIOACTIVITY ELECTRICAL DISTURBANCE [Joe NON -DOMESTIC WASTE DISCHARGED TO A SEPTIC FIELD OR SEWER If YES, then applicable standards must be addressed with a Certified Engineer's Report (available from staff). PROHIBITED USES The following uses are expressly prohibited as home occupations: (1) tourist lodging; (2) nursing homes; (3) nursery schools; (4) day care centers; and (5) private schools. [Section 5.2 (h)] WAIVERS AND MODIFICATIONS: The above standards are eligible for waiver or modification by the Planning Commission. Ask staff for more information about applicable fees and process. [Section 35 and Section 5.11 Owner/Applicant Must Read and Sign I hereby apply for approval to conduct the Home Occupation identified above, and certify that this address is my legal residence. I also certify th read the restrictions on Home Occupations, that I understand them, and that I will abide by them. Signature of wner/Applicant Date Print Name Daytime phone number of Signatory Z_ Reviewer Da ENGINEER'S REPORT ATTACHED: YES NO CONDITIONS: 11/1/2015 Page2of2 CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the owner. I certify that notice of the application, was provided to [County application name and number] [name(s) of the record owners of the parcel] the owner of record of Tax Map and Parcel Number (� �� ,I by delivering a copy of the application in the manner identified below: Hand delivering a copy of the application to [Name of the record owner if the record owner is a person; if the owner of record is an entity, identify the recipient of the record and the recipient's title or office for that entity] on Date Mailing a copy of the application to [Name of the record owner if the record owner is a person; if the owner of record is an entity, identify the recipient of the record and the recipient's title or office for that entity] on Date to the following address: [address; written notice mailed to the owner at the last known address of the owner as shown on the current real estate tax assessment books or current real estate tax assessment records satisfies this requirement]. Signature of Applicant Print Applicant Name Date