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HomeMy WebLinkAboutHO201300132 Legacy Document 2013-08-08e Q FOR OFFICE USE ONLY 110ti Fee Amount $ aS Date Paid By who? {?/l _ C�5 Receipt // CI�LI Ckil Application f®r Class A Home Occupation Clearance � troiN� .NrC.e>rtification from applicant, ome Occupation Class A Clearance= $25.00 nnlinntinn has heen nrovided to the oronerty owl>er.'if owner is different 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: I )c (1, l� Tax map and parcel: o 00 -6b —b D t 5 1�0 Zoning: .fl1 Contact person (Who should we caIYwrite concerning this project?): Je v-, n ` 1-`- 1►'-- Address �i �� -PYrd;Z11 CML 101.4yy+ Ztcj l City C.►�[ 6 tUVl���� , State V Zip(�Z�� ��� I Daytime Phone Uct S� Fax # LU E-mailJ. JW1t + r ^� Y"'� c`V �1 `� • CD✓1� Owner of Record SJ, �l»wtLCsC1z LJ��CSC—e S LLQ Address Lp!j t Ct &t N-, City A1 Y&Qgu r , State � Zip all R - Daytime Phone Fax # LU ' 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: PLEASE CHECK EACH BOX SO THAT IT IS CLEAR THAT YOU HAVE READ AND UNDERSTAND' THE REQUIREMENTS FOR THIS CLEARANCE 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 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)] 10 EXTERIOR APPEARANCE " There shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of a borne occupation. [Section 5.2 (e)1)] Z 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 Qne-chair• barber shop home occupation. [Section 5.2 (d)] County of Albemarle Department of Comm unity" 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 dwelling unit in a residential neighborhood. [Section 5.2 (e)] fel PARIUNG / \ All vehicles used in a home occupation and all vehicles of customers, clients or students shall be parked on-site. [Section 5.2 (f)] PERFORMANCE STANDARDS The home occupation shall comply with the performance standards in section 4.14. [Section 5.2A (1c)] Does the use involve procedures) machinery or chemicals that may cause the following? YES NO 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 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 as 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 l . bat e f Owner Applicant Date Print ENGINEER'S REPORT ATTACHED: YES CONDITIONS: NO Daytim phone number of Signatory Date 711!2011 Page 2 of 2 n CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER. This form must accompany zoning applications (11ome Occupation, Zoning clearance, Zoning Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the I certify that notice of the application, 1.55 ec Lo-bs [County application name qnd number] il4{l WQs� r.�w� G(n WLL br0-r45 was provided to the owner of record of Tax Map [name(s) of the recor wners of the parcel] and Parcel Number �o-�-Y �c h �4 l - r� L4 by delivering a copy of the application in the manner identified below: !� Hand delivering a copy of the application to 1 r L�'c�. 0 -CA Q -SS oc-1 [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 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 .to the following address: Date [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]. S' _ at ref plicant elvL �G— Print Applicant me Date M