HomeMy WebLinkAboutHO201900410 Application 2019-11-26FOR OFFICE USE ONLY HO # a ] D
Fee Amount $ 9-7-WDate Paid �4qy who? Receipt # Ck# By:
PT)A 2u<(o
Apphcauon for
Class A Home Occupation Clearance
❑ Home Occupation Class A Clearance = S27.00
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:
Type of Business: A, p—Wrtix
Tax map and parcel:
Contact Person (Who should we call/write concerning
this project?): J
Address 10 L 5
City C
r&s( state Zip
Daytime Phone (
Fax # �)
Email [ (� 1 �( (71ti �_ �/�
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Owner of Record
Address We TT t
C /�L City
state Zip
Daytime Phone " ( 5 - !!�M
f Fax # ( )
E-mail
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)]
E 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 occupation. [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
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, �D
[County application name and number]
T
was provided to 7-9 Ay L4,-!, 50 Kq the owner of record of Tax Map
[name(s) of the record own rs of the parcel]
and Parcel Number
manner identified below:
Hand delivering a copy of the application to
by delivering a copy of the application in the
[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
ate
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 ( to the following address:
Date
[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].
1
r
Signature of Applicant
Print Applicant Name
Date