HomeMy WebLinkAboutHO202100144 Application 2021-12-22FOR OFFICE USE ONLY HO # 1Q Dn ] u U
Fee Amount $&I-D_ Date Paid By who? t _um W9A Receipt # ([ 041-7 ck# 2 �az_ 13
Application for
Class A Home Occupation Clearance
Home Occupation Class A Clearance = $31.20
Application fee: $30 + Technology Surcharge: $1.20
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 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 dwelling unit to engage in the occupation.
Name of Business: [_0_UY'q W l3 J-% 1 5
Type of Business: _
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Tax map and parcel: U3a_DO-0a-OA-O2,WO0 Zoning: fe51c(Wi✓ cj
Applicant /'C``ontact Person (Who should we call/write concerning this project?} o' ) ('(,L.' Y,� OW VA
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Address `i M6 I )m K-i n S -br City C- o_r tO � j s y l 1-e state V pi�i(�zip z1L
Daytime Phone( C;r) / �� Fax # (� —E-mail0 i)e uJ (�yi \u jC () fYY(((i151 .Y
Owner of Record
Address CA00 O \ c71Vr�� SSD city r L1UI (i7 tFcSV1_state v A zil,22 I `I
Daytime Phone S( 0 �) � 17�3 - (� � � Fax # (� E-mail aa4 P lJJ4
PLEASE CHECK EACH BOX SO THAT IT IS CLEAR THAT YOU HAVE READ
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13LOCATION & 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 fiuther 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)]
L/ 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)]
CVSALES
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.
]Secti 5.2 (d)]
LJ 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
7/18/2021 Page 1 of 2
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is
IYJ PARKING
All vehicles used in a home occupation and all vehicles of customers, clients or students shall be parked on -site.
[Section 5.2 (t)]
CJ 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 stab).
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 1 will abide
by them. This certificate, in conjunction with a business license, represents zoning approval to conduct the Home Occupation
identi d above.
Signature of Owner/Applicant Date
I r,�_,Yu 50S 1;73 ?SOU
Print Name �—J� Daytime phone number of Signatory
Reviewer Date
ENGINEER'S REPORT ATTACHED: YES NO lC_ /
CONDITIONS:
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