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HomeMy WebLinkAboutHO201300093 Legacy Document 2013-06-06FOR OFFICE USE ONLY FF II0 #bp �%` /' Fee Amount $ p� Date Paid i 9r �'� � By who? \.tA�,J Cab c�jli # Ll � �y C01 l.Qf_1_h By: Application for �l�rl.xJp 1' Class A Nome Occupation Clearance Home Occupation Class A Clearance = $25.00 ❑Certification that notice of this application has been provided to the property owner, if owner is different from applicant 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: Type of Business: v CVy 4v Tax map and parcel: `'i U Zoning: Contact Person ( Address Daytime Owner of Recoa•d Address City State Zip Daytime Phone L__) Fax # U E-mail This certificate, in conjunction with a business license, represents zoning approval to conduct the Class A Home Occupation identified above. Each home occupation is subject to the following: BOX SO THAT IT IS CLEAR THAT YOU UNDERSTAND THE REQUIREMENTS FOR THIS CLEARANCE LJ- LOCATION & AREA The home occupation shall be conducted entirely within the dwelling unit, 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 further provided th tt the gross floor area used for the home occupation shall not exceed one thousand five hundred (15 00) square feet. ection 5.2 (b) 1)] EXTERIOR APPEARANCE T ere shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of a orae occupation. [Section 5.2 (c)1)] SALES 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. [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 7/1/2011 Page 1 oft /TRAFFIC The traffic generated by a home occupation shall not exceed the volume that would normally be expected by a ZW elling unit in a residential neighborhood. [Section 5.2 (e)] ARKING All vehicles used in a home occupation and all vehicles of customers, clients or students shall be parked on-site. [Section 5.2 (f)] Ej PERFORMANCE STANDARDS The home occupation shall comply with the performance standards in section 4.14. [Section 5.2A (k)] Does the use involve proceduresq machinery Or chemicals that may cause the following? YES NO NOISE VIBRATION GLARE HEAT AIR POLLUTION WATER POLLUTION V Le RADIOACTIVITY ELECTRICAL DISTURBANCE - :tl/ NON-DOMESTIC WASTE DISCHARGED TO A SEPTIC FIELD OR SEWER YES, then applicable 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 certi that I ve read the restrictions on Home Occupations, that I understand them, and that I will abide by them. ©67 --D r �� Signature of Owner/Applicant Date Print �Nlani2e Daytime phone number of Signatory Reviewer /Date ENGINEER'S REPORT ATTACHED: YES NO CONDITIONS: dKi, �l `w� qth� l�J J 1 7/1/2011 Page 2of2 CERTIFICATION THAT NOTICE OF HE APPLICATION HAS BEEN PROVIDED T®T LANDOWNER This form must acconz , itzg applications (Home Occupation, Zoi ng Clearance, Zoning Administrator Deternzi tions or Appeals, Sign Permits, Building Per zits) if the application is not the owner. I certify that notice of\the application, was provided to [name(s) of the re rd owners of the and Parcel Number manner identified below: Hand delivering a copy of the appli person; if the owner of record is an title or office for that entity] on Date / [Coon application name and number] the owner of record of Tax Map by delivering a copy of the application in the to [Name of the record owner if the record owner is a identify the recipient of the record and the recipient's Mailing a copy of the applic ion to [Name of t e record owner if the record owner is a person; if the owner of record is a entity, identify the rec' fent of the record and the recipient's title or office for that entity] on Date to the followink address: [address; written no ice mailed to the owner at the last kne the current real est to tax assessment books or current real this requirement], address of the owner as shown on ite tax assessment records satisfies Signature of App ,'cant Print Applicant Nam Date