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HO201300145 Legacy Document 2013-08-28
FOR OFFICE USE I ONLY //�� O # 20 1 - i p5�. (1244-6 Fee Amount $ Date Paid -U•2✓- � � By wh�o? IU j. 1 t rub b Receipt # Ck# By: ON .irdy, Application for Class A Home Occupati®n 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 Occul-?ation, 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: A1,?(n1%S7 AA nt,n�i,, � �,�iy'71©�� l()WRINA'"Wamg,4 - L L-< Type of Business: �z1• L h_Y 5]A9%f I 0 Tax map and parcel: 55 L' - 2 6lJ Zoning: R U � & �C/ t Ad Contact Person (Who should we call/write concerning this project?): 'T'AY+-t)"1 6rQ LAZZ S Address 1..1'k-aSAJ A,,,]S City i State k/A zip -.e Z4 3 Z_ Daytime Phone n -3 ZZ Fax # (_� E-mail 7& - w�Sl'i cp Owner of Record A-jf) L-A-u9A CsJ'< —L2 - Address, l512- /•-tt92N 1.-�I�LCity 640,7=r- State _zip Daytime Phone ( LO) 0 Cto - 37- Z Fax # (_) E-mail (2 -?A- e -t h (E 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 LTJ 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)] EXTERIOR APPEARANCE There shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of a home occupation, [Section 5.2 (c) 1)J LJ 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 L9 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)] PARKING All vehicles used in a home occupation and all vehicles of customers, clients or students shall be parked on-site. [Section 5.2 (f)] G'PERFORMANCE STANDARDS The home occupation shall comply with the performance standards in section 4.14. [Section 5.2A (lc)] Does the use involve i3roCedure5q machinery or chemicalsthat may cause the following? NOISE VIBRATION GLARE HEAT AIR POLLUTION WATER POLLUTION RADIOACTIVITY ELECTRICAL DISTURBANCE YES NO 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). 13 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 Lyth t I have read the restrictions on Home Occupations, that I understand them, and that I will abide by them. Signature of Owner/Applicant Date i°� ✓err e-, g/o X eK6 - 3 Z Z oo Print 1 e aytime phone number of Signatory R fewer Date ENGINEER'S REPORT ATTACHED: YES NO�_Zi CONDITIONS: 1 7/1/2011 Page2of2 CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER This form must accompany zoning applications (Home Occupation, Zoning Clearance, oning Administrator Determinations or Appeals, Sign Permits, Building Permits) if the appli ation is not the owner. \ I certify thagiotice of the application, [County application nam and number] was provided to the o er of record of Tax Map [name(s) of record owners of the parcel] and Parcel Number by deliveri g a copy of the application in the manner identified below: Hand delivering a copy of the\applitiono [Name of thy�.record owner if the record owner is a person; if the owner of recordVidentifythe6ipient of the record and the recipient's title or office for that entity] on Date Mailing a copy of the application to if the owner of record is an entity, ii office for that entity] on Date k of the reco\d owner if the record owner is a person; the recipient o the record and the recipient's. title or to the following [address; written notice mail d to the owner at the last known addre: the current real estate taxa essment books or current real estate tax this requirement]. Signature of Applicant Print Applicant Name Date owner as shown on ent records satisfies