HomeMy WebLinkAboutHO201100031 Legacy Document 2011-02-08Name of Business:
Tax map and parcel:
Application %1r`
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Home Occupations Class A Permit
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Physical Street Address (if assigned):
Home Occupation Class A Permit = $25
Location of property (landmarks, intersections, or other): J—[ U
'✓ Y ! ironing:
Contact Person (Who should we call/write concerning this project?): ��� ( 0—^ C-9—
Address
AAddress 5l, 7 I` �f� l 6 -0 --City �4 L� State Zip
Daytime Phone (� �) �� s ��'� �� Fax # (4--5:�_q S - Z1 E-mail _� ri !� . f
Owner of Record 5L e 0_� !`e�
Address
Daytime Phone (
Fax #
City
E-mail
Applicant (Who is the Contact person representing?): S <�s r4 10'��
State Zip
Address City State Zip
Daytime Phone (_)
E-mail
FOR OFFICE USE ONLY HO #J %�f % ��` �} �^
Fee Amount //✓ rV Date Pai /i �I By who?Mi C, c V �% G _Receipt # g ` / �/ Ck# � f l .By: Y/✓� !
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Revised 1/1/2011 Page I o1'2
Type of Business P �� Ce_
M
Does the Public visit the site? Yes or No V
Does the use involve procedures, machinery or chemicals that cause noise, vibration, air or water pollution, radioactivity; electrical
interference or non-domestic waste discharged to a septic field or sewer? If yes, performance standards must be addressed by an
engineer's report (Please request the Certified Engineer's Report packet). Yes or No
This certificate in conjunction with a business license, represents zoning approval to condo the Home Occupation identified above,
Home Occupations, Class A must be conducted a) entirely within the dwelling and are not allowed in any accessory structure, such as a
detached garage; and b) must be conducted by the owner/applicant (and other family members) residing in the dwelling. Home
()rri rnntinnc ('lacc A are also si„bject to the following rectriCtinn z:
1) Employees not living in the dwelling are not allowed.
2) There shall be no change in the outside appearance of the buildings or premises, or other visible evidence of the conduct of such
home occupation.
3) Outside storage of materials used in the home occupation is not allowed.
4) On -premise sales of goods, other than items hand-crafted on the premises, is not allowed.
5) No more than 25% of the floor area of the dwelling may be devoted to the Home Occupation; and the total area devoted to such
occupation shall not exceed 1,500 square feet.
6) No traffic shall be generated in greater volumes than would normally be expected in a residential neighborhood.
7) Any need to parking shall be met off the street.
8) All home occupations shall comply with performance standards set forth in Section 4.14.
Owner/Applicant Must Read and Sign
I hereby apply for approval to conduct the� �zine' Occupation identified above, and certify that this address is my legal
residence. I also certify that I have rea trie4strictions on Home Occupations, that I understand them, and that I will abide
by them.
Signature of Owner, Contract Purchaser, Agent Date
// 6�11J Ua —
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Print Name Daytime phone number of Signatory
Reviewer V/
Date
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
C 0
Revised 1/1/2011 Page 2 of 2