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Application for
Class A Home Occupation Clearance
El Home Occupation Class A Clearance
_.—-----_-__-. Application lee: $30 1 Technology Surch nee �'il._'U
HorneOrcuparron, C hmv ,d: An occupation, no( expressly prohibited by section 5.2, conducted for profit within it dwelling
unit solely b) one or mere niembos of the fhmjly residing wid nt the dwelling unit: provided that nothing herein prohibits the
occupation from engaging other pet son,. who u,n k of I=vuc and do not conic to the dwelling unit to engage in the occupation.
Name of Business: C6dLAo{'-ke, ;\\tL ey e. V1'Ltd ( LLG
'hvpe of Business:.
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Applicnnl ! Conlarl Prrsnn (Who .houlfd we Cal ".it, concrrnine Ibis project7)' V�Q(3NJ ,[�,• r
Addrese 36 LQ�I,I�- c71. �x1anR. Cily�, ("�a `f� � t. Sl.nr v�Z.ip m0a
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'LEASE CHECK EACH BOX SO THAT IT IS CLEAR THAT YOU HAVE READ
AND UNDERSTAND THE REOUIREMENTS FOR THIS CLEARANCE
W LOCATION & AREA
The home occupation ~hall be Conducted entjrcly k%nhoI the dwelling unit al the address listed abnyc and by the noted
applicant. provided Ihnl not more than twenty-fnc (25) percent of the gross floor area of the dwelling unit shall be used
for the home occupation and further provlcled that the gross floor area used fie (he Ironre occupation shall not exceed one
thousand tivc hundred ( 1500) square feet.
[Section 5.2 (b) III
0 EXTERIORAPPEARANCE
I'Itcre shall be no change in the exterior appearance of a dwelling unit or other visible ex idencc of the conduct of a home
occupation. IStrtian 5.2 (c) III
FSALES
o home occupation shall sell goods to it customer who conies to the site except for goods that are hand-cralled on -site
and goods sold that are directly related to a beauty shop or it one -chair barber shop home occupation.
)Section 5.2 (d)l
P TRAFFIC
The traffic generated by a home occupation shall riot exceed the enlunie that would normally he 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
7 IW^112I Page I er2
U PARKING
All vehicles used in a home occupation and all vehicles of customers, client, or students shall be parked on -site.
(Section 5.2 (f)j
10 PERFORNIANCF.STANDARDS
The hums Occupation shall comply wilh the performance standards in section 4.14. [Section 5.2A (k)l
Does the use involve procedures, machinery or chemicals that may cause the following?
YES NO
NOISE
VIBRATION __ -
GLARE
HEAT x-_.
k
.AIR POI,LU'f10N k
WATER POLLUTION i —x —
RADIOACTIVITY x —
ELECTRIC AL DISTURBANCE RBANCE,
NON -DOME S] ICW ASTE DISCHARGED'1'O A SF,P'I'IC FIELD OR SEWER
If YES, then applicable standards must be addressed with a Certified Engineer's Report (available from staff).
p PROHIRITED USES
The following uses arc cepressly prohibhed as home oecapalions: ( 1) tourist lodging: (2) nursing homes; (3) nursery
schools: (d) day care centcrs: and (St private schools. [Section 5.2 (h)(
11'AIVERS AND MODIFICATIONS: -fhc above standm'ds arc eligible for waiver or modification by the Board of
Supervisurs_ Ask staff foi more intbrmation about applicable lees anti process. ISection 35 and Section 5.11
Owner/Applicant'41ust Read and Sign
I hewbc apply fur approval w conduct the I Iunte Occupation identified above and ecrtill that this address is mr legal
tesidencc. I also certifi that I h;lxe read the restrictions oil IIomc Occupations, that I understand them, and that I will abide
by Iheut. 'fhi, Certificate. in r,miuncnt n with a business license, represent, al to conduct the )tome Occupation
identified above.
Stgnaturr o(ONnct . ant
Print Name
Revtewe
ENGINF.P.R'S REPORT ATTAC'HFD: YI'S
CONDITIONS:
Daytime phone ntnnher of Signatorc
No
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