HomeMy WebLinkAboutHO201200214 Legacy Document 2012-12-07Nov 28 2012 5:10PM HP LASERJET FAX
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FOR OF1rtC9 USF, ONL11 Y10 N__X I /_ :4 14-
17, Lie
4-Foe Amount Daw Paid S't211y w1107 VIGl V' RocviptP� `�2" 7 Coil ✓' ' �Y.�� IN
Application for �
Class A Home Occupation Clearance
[„J Horne Occupation Cla1sm A Clearance = $25,00
UCGrtif cation that notice of this application has been provided to tho prupc,rty owner, if' bvviler is difforei)t
from aoollrant.
HOM Clecupatlon, C'lassA, An oCCUplation, not exl)l"assly prohibii:od by Smion 5.2, conducted fbr prpfrt within a dwelling .
unit solely by oils or more members of thefamily residlnj withii9 thu dwelling unit; provided that nothing lierein prohibits the
oc=patlron from erlgasiag other }persons who ~cork off-sito and do not come to tite dwelling unit to engap in the =upation.
Naino of Business:
x
CotttwaC Pa -son (Who should wo oldvwri a conear ting This projtsai?): .ice: Do "J
Addtvss City 6i$A4A.o'rTrS r(4 -t state Lip'�."7. q
- Z3 —41 jo�,tllzae phgne r• ox �i L__)
aw��cr otltecord _ V>�,;yl,r (� "��ht1�Yth$�+.i`j�j 9
Address —10-5 E. ,MLwem." T', city C�1-�IM1R ( w'+ si.go VA 4 Z%+I
DaYtitne Phonn • 1110 rax W L_j 4 -alai I -io+ I �.I.G# lt-GOfAl l:i a M -A* . La*%N
This oertifioate, in ooJUnotion with a business license, reprosents zorliq approval to oonduct the CIas,i A Horne 00,04pation
Identified above. Each homC oecupation Is subjeot to the following;
PUA$, CHECK EACH BOO 80 TI3AT IT IS CLE AR . I= IItCIU HAVE READ AND
MERSIANk THE CJI T9 P' THIS CLEAiUNCE
LOCATION & AREA
The home oc"ipatlort shall las conducted entirely within the dwelling unit, provided rhat not more than twenty -fivc
(25) pereent ofthe gross floor Area of t1)e dwelling unit ahall be used forthe 1101ne occupation �iiid further providcd
that tfle &rm Floor area used for the home occupation shall 110t exceed one thousaild fire hundred (1500) Square feet,
(Sution 6.2 (b) 1))
` 7
E, XTERIOR APPEARANC4
Thero shall be no change in the exterior appearance, of a dwelling unit or other visible c vidonoe of the oonduct of a.
home occupation, [Section 5,2 (t') 1)j
SAI,IaS
No home owupation shall sell goods to a Customer Who comes to the silo except for gouda that are hand-orail:ed on-
site and goods sold (hat are dirat;tly related to a beauty shop or a orio,, hair bsu'ber shop home occupatipn.
[Seal'#on 5,2 (d)]
County of Albemarle Depax,trnent of Community Devolopntent
401 MaIr;tire Road + hm-lottesville, VA 22902 Voice: (434) 296-5832 Fax; (434) 97.2-4126
7/112D1 l Ppge 1 ort
Tax map And parool.
� `5
- zoningi
x
CotttwaC Pa -son (Who should wo oldvwri a conear ting This projtsai?): .ice: Do "J
Addtvss City 6i$A4A.o'rTrS r(4 -t state Lip'�."7. q
- Z3 —41 jo�,tllzae phgne r• ox �i L__)
aw��cr otltecord _ V>�,;yl,r (� "��ht1�Yth$�+.i`j�j 9
Address —10-5 E. ,MLwem." T', city C�1-�IM1R ( w'+ si.go VA 4 Z%+I
DaYtitne Phonn • 1110 rax W L_j 4 -alai I -io+ I �.I.G# lt-GOfAl l:i a M -A* . La*%N
This oertifioate, in ooJUnotion with a business license, reprosents zorliq approval to oonduct the CIas,i A Horne 00,04pation
Identified above. Each homC oecupation Is subjeot to the following;
PUA$, CHECK EACH BOO 80 TI3AT IT IS CLE AR . I= IItCIU HAVE READ AND
MERSIANk THE CJI T9 P' THIS CLEAiUNCE
LOCATION & AREA
The home oc"ipatlort shall las conducted entirely within the dwelling unit, provided rhat not more than twenty -fivc
(25) pereent ofthe gross floor Area of t1)e dwelling unit ahall be used forthe 1101ne occupation �iiid further providcd
that tfle &rm Floor area used for the home occupation shall 110t exceed one thousaild fire hundred (1500) Square feet,
(Sution 6.2 (b) 1))
` 7
E, XTERIOR APPEARANC4
Thero shall be no change in the exterior appearance, of a dwelling unit or other visible c vidonoe of the oonduct of a.
home occupation, [Section 5,2 (t') 1)j
SAI,IaS
No home owupation shall sell goods to a Customer Who comes to the silo except for gouda that are hand-orail:ed on-
site and goods sold (hat are dirat;tly related to a beauty shop or a orio,, hair bsu'ber shop home occupatipn.
[Seal'#on 5,2 (d)]
County of Albemarle Depax,trnent of Community Devolopntent
401 MaIr;tire Road + hm-lottesville, VA 22902 Voice: (434) 296-5832 Fax; (434) 97.2-4126
7/112D1 l Ppge 1 ort
Nov 28 2012 5:10PM HP LASERJET FAX p•2
l TRAFFIC
Tire traffic generated ;7y a home o6oupation shall not excao ! the volume that w0ald normally bo oxpected by a
dwelling unit in a residet1t1al neighborhood. [Seetlon 9.2 (e)]
PARXING
All vehicles used in a itiame Occupation and till velzic:es ref custORM'S, I!lionts or students shall bo parked on-site.
iSection.2 (t)�
PERFORMAN'GLr STANDARDS
The horns oocupa(lolt shall Comply with the perforrnarnon standards hi suctimi 4, 14. (Seotion 5,2A, (4))
Does the use involve procedures, machi niery or chemicals tryst may cause the following?
VIES NO
ivOY;��
'ir11MATIt: N'
CLARE
-REAT
AIR POLLUTION
WATER POLLUTION
RADIOACTIVITY �
BLECT RICAJ, DISTU RUl►NCr" Ik
NON-DOMESTIC WASTE DISCHARGED TO A SIiY'TIC PFIZLD OR SEWER
If YDS) then appilettble standurtls must be addressed With w Certified Engl,nee.r's Report (availuble from statf).
-PROPSYI3ITED 1JSE8
The ;'0110wing uses ore oxpresely pmhibitetd as borne cocupationsr (1) tourist lodging; (2) nursing honiesi (3) nursery
schools; (4) clay care centers; and (5) private schools. [Section 5,2 (h)]
WAIVERS A?qD MODIRICATION'$t Tho above standaix.s are Eligible for waiver or moci ficatiotn by ti'ie Planning
Commission, Ask staff for mora lnformaticn About appliOable fees and process, [,Section 35 mnd Section 5,11
Owner/ApplicantM+ust Read rand Sign
l hereby apply for approval to conduct thb HOM Occupation 1dantlfied above, and oertifj thg this addrtw is my legal
residence. 1 also oertlfy that I lave read the rattrfa&ns on Dome Oompations, that I understand them, and that I will abide
them.
' k
!Sig�llattlre of Owner,/Applicant Date
Print Daytime phone number of Slpatory
Revi(xwer —------
l�ai4
ENGENEER $ ,R.EPORT AT rA.CHED: "Y2,S No_
CO]VD1'l°10NS;
D j ��
��.. %,Q., I
7/112011 11Ugn2e1'2
Nov 28 2012 5:10PN HP LASERJET FAX
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CERTIFICATION THAT XOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
:04NAp m must aevompeeny zoning rrppliaration,s Notne Qccvadon, Z'onitw Clearance, Zoning
AdrrrirflSYrttini i3eYerrr,ircaYioirs Or Appeals, Sidra per»firs, liuilciing Fermies) tj`Ylie axpplicalloit is nul the
oWnef.
1 certify that notice of the app utdorl,
[CatuIty application name and Mirnber]
k
was provided to h'1�' (+ rr" r+4ir-`Ti�� tis , L- the owam, of record o f'l'ax Map
j:na;tie(s) of tha`oord owners of the pane!]
and Parcel Number _ _ by delivering A coPY of the application in the
manner identified below;
_ Hand delivering p copy of,the application t4 w e 1 k&'N 10,x0)0rJJ r1 V , r- N1mywr z r, ,..
[Dame olljbc��r ifthe rCoorcl ow-aa4' is a
person; if the owner of record is an entity, idontifyke re0100W of the record and the reo. _ ipi�nt's
t1t1a or off ue for that entity
]
on —
Otte
Mailing a 00py cd the applloation to
[Name of the record owner if the record owner is a person;
if the ownor of record is ,an entity, identify the roolpivnt olftho r000rd and the recipier.t's title or
office for that entity]
on
Dow
to the following address;
[address; writtsnnotice mafled to the ewnpr at r11e last (Mown address ofthd owner As shown on
the rUrrmt real aet'ste tax assosament books pr Current roal estate tax assessment records satlsfies
this regWrement],
Signature cafApplieant�� Print Applicant Nome l
L7ltite.