HomeMy WebLinkAboutHO202000110 Application 2020-06-23FOR OFFICE USE ONLY
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Fee Amount S19q7�_ Date Paid 444"who?p
Application for r -
Class A Home Occupation Clearance
❑ Home Occupation Class A Clearance = $27.00
Home Occufmtion, 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 dw clling unit to engage in the occupation.
Name of Business: `t (-6qf C�k C t'r-oRrt olr)
Type of Business:
Tag map and parcel:
M.-ve S4
C 2. lD 1- 01— E_
Zoning: 1
Applicant / Contact Person ((Who should w1" ke call/x ite concerning this prgject?): ('�- aek VM L� O°t{',r x
Address �33 � 4 i 61 e L 7`'r r Q L f Cite L f t c`I` —eiy l P State V; Zip 22 q D j
Daytime Phone (S ) ` 3 1 Fax # { ) E-mail
Ovv'nerofRecord Mur'0Q0y :\'r MVINg QP-k V-1umi'lY1LI tJ sn�11�
Address � � { dct�frrzaCf city State r E' zip .22gI:
Daytime Phone ( a) Z 9 ` IN Fak # { ) E-mail
PLEASE CHECK EACH BOX SO THAT IT IS CLEAR_ THAT YOU HAVE READ
/ AND UNDERSTAND THE REQUIREMENTS FOR THIS CLEARANCE
S LOCATION & AREA
The home occupation shall be conducted entirely within the dwelling unit at the address listed above and by the noted
applicant.. 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.
[SdEXTERIOR
ction 5.2 (b) 1)]
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)]
E 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)]
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)]
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
4Y 14,f202b Pace 1 of 2
PARKING
All vehicles used in a home occupation and all vehicles of customers. clients or students shall be parked on -site.
[Section 5.2 (f)]
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?
NOISE
VIBRATION
GLARE
HEAT
AIR POLLUTION
WATER POLLUTION
RADIOACTIVITY
ELECTRICAL DISTURBANCE
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).
dPROHIBITED USES
The following uses are expressly prohibited as home occupations: (1) tourist lodging; (2) nursing homes; (3) nursers
schools; (4) day care centers; and (a) private schools. (Section 5.2 (h)[
WAIVERS AND MODIFICATIONS: The above standards are eligible for waiver or modification by the Board of
Supervisors. 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 certi& that I have read the restrictions on Home Occupations, that I understand them, and that I will abide
by them. This certificate, in conjunction Leith a business license, represents zoning approval to conduct the Home Occupation
identi ove.
/l k � z? C
Sig dre of 0-,vneeApplicant Date
MI'0e( M
Q-
Print Name
ReN iewer
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
Daytime phone number of Signatory
Date
4114E2020 Page 2 of 2
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany any of the following zoning applications if the application is not signed by the
owner of the property. (Home Occupation, Zoning Clearance, Zoning Administrator Determinations or
Appeals, Sign Permits, Building Permits, Special Use Permits, Zoning Map Amendments)
I certify that notice of the application for, r^LC�wrt ►'�� �� Ss
[Name of the application type & if known the assigned application #]
was provided to i" K�v�v��,� �.r �Ao)—) � e f�
[name(s) of the record owners of the parcel]
the owner of record of Tax Map and Parcel Number
by delivering a copy of the application in the manner identified below:
v Hand delivery of a copy of the application to
on 1
Date
on
Mailing a copy of the application to
Date
to the following address
flfluv\uOL k�e .r N o kw'i-er,
[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]
[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]
[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].
Sign re of Applicant
Print Applicant Name
i
Date
Revised 2/25/2019