HomeMy WebLinkAboutHO202000101 Application 2020-06-25VOR OVVICE I SF OM I I I0 tv =ae Uo Ll
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F-7
Application for
Class A Home Occupation Clearance
-[_.1-119111-1e-occupatir--n- Class A Clearanc,e S27.00
lAwre OL-curmliom Cfavi A An oecupji0n, not expressly prohibited by section 5.2, condUCted fur profit within a dxvc3linp
"nil sofeK, by oft or more members of the flamily residing withic, the d-welting unit; provided that nothing herein prt4iib3-,s the
Occupation irlim engaging, uther prnsoriswho work oW-site and do nor come to the; dwelling unit to Cn&-ge iTj the INCkipaLiOn.
-Naive eir Raciness'
Tax inap amd parcel: w a
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This certificate, in Conjunction With a business licervie, repm5ctits, toning approyal w conduct the Clas-, A I Ionic (kcrupation
identified above. Cach home mcisparjon iq %ijbiect to the follo%kin,r:
PLEASE CHECK EACH BOX SO THAT 1' IS CLEAR THAT YOU HAVE READ
AND UNDERSTAND T14F , REQUIRENtENTS FOR THIS CLEARANCE
Mo'�OCATKJLN & AREA
Yhe hinnr occupation -.hal! he coadwed ej)Grel% within the dwelling unit, provided that riol inure than twenh-five
peKelil, uf the gross floor area of the divcWng urtil shall be wed for dk- home occupalion and fut-lher provided
that the Arms floof area uwd for qw twrot L-ccupation ,hall nol exceed one [Kound five hundred (I --)NJ) sclware foe;
I'Sectiun 5,2 (k) 1)1
13' F'.XTFRIOR APPEARANCE
'Thy to sliall be no churive in the cxteriiaT appearance of a dwelling unit ot- o0Jwr visibic evidence ol'ihe coridLict of a
iminic kxcupation, ISK-tiota 5.2 (e) 181
M`4 L ES
Na home ocropolion Shalt ill goods it, a cult ter who coilics. to the Site except for goods that are hand-i;:rafter) ol)-
Y,itc and goock -,old that are directly related to a beauty siwp or a wic-chair barber s?mV home OCCUPU60n.
tsm-tioll
County of Allbeinarle Department of -Community Development
4,01 McInfirc Road ChallottesNille, VA 22902, Vaice, (434) 296-5832 Fax: (434) 9724126
I L4,2015 to I nf:!
.I,-
Mr —
a RAFFIC
I he traffic generated by a home neeLTation -ball not cxcvvd the vulturte the Nould normally be cxlxctcd by a
(f%elling 4ru! 111'a resijlnilai neighborhood. ]Sccdon 5.2 (e}j
Uf PARKI-NG
Ail vehicle-, used io a home mcup,46011 &W all vehicles of custamLrs, clientsior students shall he parked fret site.
[Section 5.2 (()1
EY-PERFORNIANIP)E STANDARRS
The homeoccupation ,Marl WMPly With the pertbnminccitandird-i in jectickii 4,j4, [Section 5.2A (k)l
Dues the use invtdvc procedurcs, machinen, or chemicals ihat muy- cAuse the ronowin.g?
y E S NO
NOISE
VIBRATION
GLARE
H FAT
UR POLLUTION
WATER POLLUI 10.N
RADIOAC11VI'l Y
IFLECTRICAL DISITRIJANCE
NON -DOMESTIC WASTE'DISCHARGET) TO A SEPTIC FIELD OR SEWER
If V F-S, then upplicia bk- standards mubt be add rcsscd with a Certified Engineer's Report (avalloWe front staff,
131PROHIBITFF) USES
1-he followukg wics arc exprz-,sly pm)hibireij is home CKxupations, (1) louriii lodpng, (2) nursing !,oniz-s; (1) norwry
s0hcq*(4) day care Centers, and (5) pn%,= schools. [Section M th)l
$A�'ATVFRSAN'DNfODII,'ICAI'IONS, theabove standardsareefigibte bthe Kanning
Commission- Ask.,staffibrm(vc infivniation A1.vw;gppLcab1c fees and rwoccss. ISection m grad Sect ion 5,11
0%pnerrAppfizant ;'Must Rcad anti Sign
I hereby apply for appruval to conduct the Home Occupatitw, identified j.xjxe, and certify that this address, is, my lept
ivsiderice, I alt5ru certiN that [ hove read the m-itrictions on Htimc Occupati,nn5, tbar r viiderstarvt] them, rand that I witl ahdo
sr-
s rgaidl uric cif O-A, r =',"A ppi ican t D-aie
Print Nam.,
Rc4ic r
ENGINEER'& REVOR I'ATYACHED'. YES NO
CON DI HONS.
Daytime phone number of Sit nory
COMMONWEALTH OF VIRC, I N I A
STATE CORPORATION CO.N-TN'HSSION
0115Lc ofthr ClcA-
Knift;ccri Wow
953 MlkvtL-rc Dvu:ewurd
charbaesvine, V,4 --29ol
Psyrmemrjo -sublOW:
Puy-MCWT)IM
0-u&! cWd
pKMed to this receipl:
Type of Filing
ArLicim nMtpninfljr7A - ProfiCj*xq4l
kf,CV*Ifrj,
WoTk,k7)mkT Nwnher
VW:
Tout Ainimmiz
Entity Numne
H iiWu Wwmt. LLC
The requested fi1imgftNmc%t k*5 bma wat kir Am email will be test ona ft rc4ew it catap[ett.
AWuAt
$I 1XI . uo
PDVMMt Only A0440" DSLcasift;(g inemt _lndtd
phRy's
RO Box t 197, RictTrKwO, VA 23218-1197
Tyler BLadmg, Piral F1,00r, 1300 East LUIn Smovi, Rxhmr4, VA Z3219-3530
I'W— aQntl q*71 nT%lj — -I... 0.. *— - -- —144�
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