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HomeMy WebLinkAboutHO201300002 Legacy Document 2013-01-04FOR OF ICL l.1SL ONLY flo // 1 ;) - L. �} �!�✓%�(�(y1�1 l ��fsccipf fl (ffJ%�I JG ( l f Ckt; ----------------- J...R- fcw5;'fi6 ? Application for . Class A Home Occupation Clearance �__. __ __ _ _ ___------_-__—❑ Home Occupation Class A Clearance = $25.00 —_-- llnnle Occupation, C.'lass/k An oCCUINIti0n, 1101 capressly prohibited by section 5.2, conducted for profit within a clwclling unit solCly by one or more nlenlberti of the fanlil.)r residing within ihC dwelling unit; j)mvlducl that nothing hel•cin pl•olliblts the oCcupation [1'0111 engaging other persons who work off=sil.c "Ind d0 Ilol cotyle to tile clwelliilg llilit to CllgilgC ill the 0=11),16011. Name of'Business: —A I G � �_,_✓ !!_ _—� (_!/1 Type of Business: .._../ 4X, T Ta% map and parcel: ._._U 1 � 'Luning: V4 - i& cn-fiol Contact Person (N'ha should WC calINT11C Callcerning this Projec(?): lqli`AAA,,a%� ��j /,� Address City W'�V''�yli/' I� State l�7 "Lip" I�'t'" 1Ld"o Ua)'time Phone ( ) -- Fax ff (_) _ -- E-mail _^-- Owner of Record _ ./a`m /'Wdress ... j I fV C .�. C 11= Cit)' CIMM6 t /GS VU4_5State _ ( Zip WtOl �j Da)rtimc Phone (`f.�'(1) `7 � `/a �4 �J Fax # L�--- E-ma14) 10PmO a (3.0 Epi This certificate, in conjunction with a business license, represents zoning approval to conduct the. Class A I lome Occupation identiliecl above. I.8C11 home ocCupation is subject to the following: PLEASE CHECK EACH BOX SO THAT IT IS CLEAR THAT YOU HAVE READ AND UNDERSTANDTHE REQUIREMENTS FOR THIS CLEARANCE Z LOCATION & AREA The home occupation shall be conducted entirely wlthin the CkA'Clling unit, pl'0V1dCd that not inom than twenty-five (25) percent of the gross floor arca of the dwelling unit shall be used for the home occupation and further provided that the gross floor area used for the horllC ocCupal:ion shall not exceecl one thousand Five hundred (1500) square ('cct. (Section 5.2 (b) 1)1 I✓XTFRIOR APPEARANCE There shall be no change in the exterior appearance of i dwelling unit or other visible evidence of the conduct of a hon occupation, (Section 5.2 (c) 1)] SALES No home occupation shall sell goods to a customer who comes to the site CXCept for goods that are hand-crafted on- site and goods solcl that are directly related to a beauty shop oi• a one-chaii• barbel' shop home occupation. [Section 5.2 (d)] County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 2/1/2011 Paee 1 art TIUFFI C The traffic gmerated 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)j _ __- __ PARKING All vehicles used in a home occupation and all vehicles of customers, clients or students shall be parked on-site, ('Section 5.2 (I)j PERFORMANCE STANDARI)S The home occupation shall comply with the; per!'ormance standards in section x{.14. (Section 5.2A (Ic)J Does the use involve procedures, machinery or chemicals that may cause the following? YES NO NOISE VIBRATI ON __— GLARE ---- HEAT -- — �— AIR POLLUTION WATER POLLUTION RADIOACTIVITY ELECTRICAL DISTURBANCE NON-DOMESTIC WASTE DISCHARGED TO A SEPTIC FIELD OR SEWER f' YES, then f►pplicable 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 Planning Commission. Ask staff for more information about applicable fees and process, [Section 35 and Section 5.1] 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. © l (9 a`Z C9 I �ign`�:ur" c oI'� caner/Applicant Date Print Name Rev' er ENGINEER'S REPORT ATTACHED: YES NO CONDITIONS: D •��� c.tr, GtS c: o / v�-G►'�1�- o /Vl y .5- 66 __Y_. X__2_>_ Daytime phone number of Signatory /// Date 2/1/2011 Pnge2or2 CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER This form must acconrparri-P zoning applications (Horne occupation, Zoning Clearance, Zoning Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the owner. I certify that notice of the application, [County application name and number] was provided to [name(s) of the record owners of the parcel] and Parcel Number manner identified below: the owner of record of Tax Map by delivering a copy of the application in the tr � Hand delivering a copy of the application to [Name of the record owner if the record owner is a person; if the owner of record is an entity, identify the recipient of the record and the recipient's title or office for that entity] Oil Date Mailing a copy of the application to [Name of the record owner if the record owner is a person; if the owner of record is an entity, identify the recipient of the record and the recipient's title or office for that entity] on Date to the following address: [address; written notice mailed to the owner at the last known address of the owner as shown on the current real estate tax assessment books or current real estate tax assessment records satisfies this requirement]. — -- Sigutatuie of Applicant Print Applicant Naine Dat