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HO202000126 Application 2020-07-22
FOR OFFICE USE ONLY HO # // Fee Amount Date Paid�y who?GJCr l(_ i hi // 1 Receipt C' By: Jr) Application for.._l. \ 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 melnbers 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: Gloria Lynn Gibb Type of Business: Tax map and parcel: 046B4-02-OC-00100 Zoning: R1 45 Applicant / Contact Person (Who should we call/write concerning this project?): Gloria Lynn Gibb Address 3369 Worth Daytime Phone 43( 4 ) 960-0297 Fax # (� Owner of Record Gloria Lynn Gibb Address same Daytime Phone Fax # ( City Charlottesville State VA Zip 22911 City E-mail glogibb@hotmail.com E-mail State Zip 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 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. [Section 5.2 (b) 1)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 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)] ® 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) 972-4126 4/14/2020 Page I oft ,® 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). ® 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 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 certify that I have read the restrictions on Home Occupations, that I understand them, and that I will abide by them. This certificate, in conjunction with a business license, represents zoning approval to conduct the Home Occupation identified above. July 16, 2020 Signature of Owner/App ' ant Date Gloria Lynn Gibb Print Name Review ENGINEER'S REPORT ATTACHED: YES NON/A CONDITIONS: 2 434-960-0297 Daytime phone number of Signatory Date `Z Z-- 2c, 4/142020 Page 2 of 2 i C- o V N O �n Z r V v N � " o �l L y' V' �M