HomeMy WebLinkAboutHO202100103 Application 2021-09-03InKunnI.I'soNl.a nu.L02i-(_0i 9wj7z666Vi6iio"t05
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Application for
Class A home Occupation Clearance
— _ _,n.,, Ilomc Oaupatiun <_las+:\ Clenrnncr_52?.1111 -_
Ih.r•�, U.. 191IMn1. (Tula .t..\n pcupabwr, n.N eslve..l) proh.hileJ b+ +c.livn :.:undu:rCJ f� : pn:lil la illun a dl. outing
unll w+lch M olio or I1KKC nxmlxn of the 6mil1 residing lrilbin the• dwelling unit. prundrd tbw Iwlhing harm prohibih flue
.wa,pati.n holm engaging otber persons rvho oaf, a,IT-site and it,, not conic to the d-elling unil lu engage in the occupation.
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I bis cen i licale, in eonjunciion will, a husincss license. rcpresenla rnning appmsal In cnalnct tlK ('Ina A Ilnme (lecupal inn
identified aMae lixh htnrc .n�upatiar i+wbjavt u:Iln• IulMwing:
1114,ASI: ('HECK EA('ll ROX SO '111Al_IT_IS CLEAR THAT YOI II m itE\I)
A\1) VNI)FRSIAND lHf: RVO(IRtMI:;N-I:S FOR THIS CLEARAN(-E
I he l,orllf 14cujml"'n >!,all be C.uld.,10 Lintel) ,.It the tI,. cllmg ono, Ivor Idcd lhal not ni,Kv than l.cm, -list'
(]i) fmccm ul the pro» llrwn area of the drretling unit Ihal! he used for Iflc home xeup:nion and funlrut rm ided
Iha: Iln grc•++ Ihvr arcs used for Iln home xwpabon shall Ina erccad one thousand five hwdred I f SfAI) +yunre fret.
Is"lion 5.2
fg'I:XTERIOtt APPI:ARAN('I:
'I here shall be IN, change in the estrrun appearance tit a dwclhng unit or other r isible evidence of the condmi of a
,,,(I/tome Iveupalion. 1%*VVI"n 5.2 NJ I)I
3 `:\ISS
No Iwmc occupation shall mil gads to a rllnnmer who coma 10 the silt ccapl ftw grads that arc hand-craticd on.
+:Ic :u1J gasodt wld that arc dined, mbtcd lu a b aut) shop a a ourchair bwhcr slwp home "cup.o... n.
ISertien 5.2 (d)1
('onnh of Albemarle Department of ('i n inunils Ilesa•Iupulent
401 Alebltire Roml ('hurhtllc+cille, VA 22902 \ oice: (434) 296-58.12 1at: I4t41 9112.4126
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Ilie Imllic fCnnnted 1+) a lunno.s'upalnai stu11 11,4 cI, 1VJ 11w vnLvnm Ihat +.mdd m.nn:Jly Iw cyracd M a
dwcllutg unit in a m%idcniol neightKuh+Kwl ISrelinn 5.2 tell
PARKING
All vehtdes used in a housc swaqulinn and all schicics of cuslomers, clienH at student. Dull he lurked on•siic
Is"64vn 5.2 (11I
C3 pERFORMANCE STANDARDS
I Im homc tmcur a kmi, sludi ennyd) with the perlinttuticc slardanls in seetwn d. I1, ISeclion 5.2A (k)I
Does the ose involve procedures, machinery Or chemicals that inn) cause the following^
VI:S NO
NOISE ✓
VIRRATION ---
GLARE
IIEAT
AIR POLLUTION v
l 1
WATER T10N
RADIOACTIVITI _
LLIt IHIr AI, DISIt It R:sNt t.
NU\-IIUM V% I R 11 AS Irk DIM. HARGI:D 10 A SI:I'l H f- It. UP UR.Sk.1VfK
If \'ES, Then applieuLle stuodnNs mull by addressed With a CerUfivd EnginCcr's Hclsort (availuLlr 6om slam•
PROIIIKI I:U I SFS
1L: li l!nvv inl: u.-:.:uc cspry +h In•.•hihuca n: h<un; ncupativ�n+' (I ) wuri.r h+dging. (2) nvning hn..... f nnnrn
whools: (a) da) care ccntvrst atal o) Private WIKKds. ISecliun &2 (h)I
WAIVERS ANTI MODIFICATIONS: 'Ihc above standard, arc eligible for Maher or naxliti.ubon b) the Planning
Camniwon. AA staff for more iniv r untion atwwt applicnLle lees and pr+mcss, IScclian 35 and Savtiun $.I I
Owncrf:\pplicant Must Read and Sign
I Lerch)' appls for approval to cmaluct
din Homc Ueculmi ni, identified above, and eenif) thin this address is it, legal
mvidcrscc. I alw certilZlhal I have read ilve restncti.nu.ni llonse Uuup:nions• that I understand tivens• id tltal I will abide
b) t Can
Si ature n a/A lien
Date
.�er�_SnrImBE� -
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P inl \ante
Da)limc phone number of Signatrm---
q-3-21
ENGINI1l1K•S RU'URI ATL\CIIF:D:
YESNO_._._/-___
CONDITIONS: it
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u efr�b 5 S ' VKI e fF e�Ke - 4✓at q ✓4 154 �3
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