HomeMy WebLinkAboutHO201300077 Legacy Document 2013-05-13FOR OFFICI: USLONLY f 1
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Fu Amount S l.J._....... Dalc I'aic;J I_`N3 riv who'.1fiOn�t/�_. — Receipt i, _1 �"(� Cki
. C,,AApplication fnrClass A Borne Occupation Clearance
hlome Occupation Class A Clearance = ,$25.00
/-Loma Occupation, C/ass A. An occultation, not expressly prohibited by section 5.2, co11CluctOd fbl' prOflt Within a dwc(ling
unit SOICly by 0110 or more nlenlbers of the family residing within the dwelling unit; provided that nothing herein prohibits the
occupation frons engaging other persons wilo work off-site IIICJ Cl() 1101 collie to the. dWClling unit 10 0ngagC 111 1.I1C: OCCUp'dtloll.
Name of Business: OM—L=-LAtb SE
Type o1' Business: can35c�(�i-/`1n� i
Tax map and parcel: 0�a_,�a - - r�""r���b� Zoning: o� -
Contact Person (who should we call/write concerning this praicc(?):
Address 2.62].._HL) N111jeon',',ei City C. Mbl,,WESILL•E state VA Zip 22 91.)l
1.`l r-
Uaytinx; Phone (13�) 111 fir./(o Fax 11 (_) --1-mailv__.—� I
Owner of Record Iir.i�Fiuti't Ak, ®iko S _
Address 2 (all I� ca,f.tl rn/C-`Cowl 12tj _ Cit)' C'F4,V-'LtM1 ESV4 C State _.V Zip 2 l io %
Daytime Phonc (`f34) 913-6/4,3 Fax # (__)
E-mail ,�` rtJy .iiS.._ avrets i .
'('his certificate, in conjunction with a business license, represents zoning approval to conduct the Class A Home Occupation
identi[led above. l;aCh Moine OCCUpati011 is subject to the following:
PLEASE CHECK EACH BOX SO THAT IT IS CLEAR THAT YOU HAVE READ
AND UNDERSTAND THE REQUIREMENTS FOR I'HIS CLEARANCE
1 -'LOCATION & AREA
The home occupation shall be conduClCd CIlt11'ely within lhC ChAICHing unit, provided that not mre othan twenty-five
(25) percent of the gross floor arca of the dwelling unit shall be used for the home occupation and further provided
ghat the gross floor area used for the home occupation shall not exceed one thousand five hundred (1500) square feet.
[Section 5.2 (b) 1))
2 I XTER1OR APPEARANCE
Therc shall be no change in the exterior appearance ofa dwelling unit or other visible evidence of the conduct of a
1101110 OCCIIpa6011. [Section 5.2 (c) 1)j
2'SALES
No hone occupation shall sell goods to a customer who comes to the site except for goods that are hand -wafted on-
site and goods solei that are directly related to a beauty shop oi- a 011e-Cliait' barber 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 Pape I or2
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)l
E PARKING
All vehicles used in a honk occupation and all vehicles of customers, clients or students shall be parked on-site.
Isection 5.2 (1)l
PERFORMANCE STANDARDS
Tile home occupation shill) colliply with the performance standards in section 4,14. ISeetion 5.2A (101
Does the use involve procedures, machinery or chemicals that mai, 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
If YES, then applicable standards must be addressed with a Certified Engineer's Report (available from staff).
Ell"PROHIBITED USES
The following uses are expressly prohibited as honle 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 5.11
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 I will abide
by them,
3�&41 4a.0a 1a "Ay Qo/3
SignatUrC caner/Applicant Date
Print me
Re sewer
NO
3ci c!, 73- 616 3
DaytI1nC )I1011C 111.1mber of Signatory
Date
ENGINEER'S REPORT ATTACHED; YES
CONDITIONS;
2/1/2011 Ptnge2or2
,
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
Thus form must accalnpan).) zoning applications(Home Occupation, Zoning Clearance, Zoning
Adminish for Determinations or Appeals, Sign Permits, Building Permits) if the application ' il.ot the
owner•, \
I certify that notice of the application
[County application naive
was provided to \ the o er
[name(s)\f the record owners of the parcel]
and Parcel Number \ by deli
manner identified below: \tlie
and delivering a copy of application to
Y" number]
of record of Tax Map
a copy of the application in the
[Name 6f the record owner if the record owner is a
person; if the owner of record is an entity, identi he recipient of the record and the recipient's
title or office for that entity]
on
Date
Mailing a copy of the application
if the owner of record is an
office for that entity] en 1-Y y
on
Date
[Name of t`he record owner if the record owner is a person;
identify the reelpient of the record and the recipient's title or
to the
[address; writtF]S'
tice mailed to the owner at the last laic
the current realtate tax assessment books or current real
this requiremei
Signature of
address of the owner as silown on
ate. tax assessment records satisfies
Print Applicant Naive
Date