HomeMy WebLinkAboutHO201100019 Legacy Document 2011-02-08Name of Business:
Application for
Home Occupation Class A Permit
['f Home Occupation Class A Permit = $25
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Physical Street Address (if assigned): .4 // % -/ '
Location of property (landmarks, intersections, or other):
Contact Person (Who should we call /write concerning this project ?): f q.& h%
Address City _J!�/a Lu� r / /S�iate y- Zip 2z—`
Daytime Phone 2 Fax # E- mailt °�tYh�sr�l"DGt/�'>Q11'evv�
Owner of Record
Address City
Daytime Phone Fax # L_)
Applicant (Who is the Contact person representing ?):
Address City
Daytime Phone Fax # L_)
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State Zip
E -mail
State Zip
E -mail
FOR OFFICE USE ONLY I10 # — �.
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Pee Amount $ Date Paid By who. Receipt # Ck By:
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 1 of2
Type of Business i, -I a ( I
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
j 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 conduct 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
Occupations,_ Class A: are also.suUject to the following restrictions:
l) 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 pply for approval to conduct the Home Occupation identified above, and certify that this address is my legal
resident I also certify that I h ve read the restrictions on Home Occupations, that I understand them, and that I will abide
by them.
Signature of Owner, ontiact Purchaser, Agent Date
Print Name Daytime phone number of Signatory
Reviewer Date
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
Revised 1/1/2011 Page 2 of 2