HomeMy WebLinkAboutHO201100002 Legacy Document 2014-07-30Application for .
Home Occunation Cuss A permit
e Occupation Class A Permit =$25
.Name_ol' Business;
Tax map and parcel;-T''ivl�r M `= C.r? L- �% Zoning;
Physical Street Address (il'assigned): 1 �t Qum '�n j2' JA
Location of property (landmarks, intersections, or other): SQ'm G 1\j!e fit
Contact Person (Who should we call/write concerning this project?): V'(I t:2T+ va 1-3��• �°F_ C 1�r_
Address__ i�'N rA i. r�e.� ' CitC"
t_ zip °.01,
Daytime Phone LJ Fax # (_� E-maili.c0�i�`VZ'Cu� t:BZQ �1%t1 L.y
Owner of Record
Address
Daytime Phone (_)
City
Fax # (_J E-mail
State Zip
Applicant (Who is the Contact person representing?):.': -:5A MV--- A47!!5> Ar E5 0 1�.._
Address
Cit}'
Daytime Phone (_� Fax # (_) E-mail
State 'Zip
FOR OFFICE USE ONLY I.10 # D
D� 2 ) J F/ 7" f35y� EtJa'
Pee Amount R 25 Dale Paid✓�� � [iy who? 1 Oz G ` � � Receipt 11 Cklt B)':
County of'Albemarle Department of uommunrry.UevelopnnenL
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434)'972-4126
Revised 1/1/2011 Page I oft
I N Ile of litsiI)ess
Docs the I'ublic visit the site'.' YCS or No
Doc:; the usC 111Nc1lVC I)I'OCCCIlll'n. 111'<Ie11ine1•)' o1• chemicals that Cause noise. vibration. air or 1•vater pollution. raClioactivita, Clecu•iCal
I interference or non-domCSOC MMC clisChargcCI 10 t1 septic field or set•vcr'? lhes. pCrfirl'nlancC standtncs-must be addressed hN an
engineer's report (11ICase rcqucsl the (:crtified linginccr's Report packet). Yes l.. or I _
This certlflcitic 111 ColljU1lelloll with a bLIS111e5S 11Celse, represents zoning upproval to cenlcluCI the I I1111'IC OCCLII)a6011 idelltilICd 11hovC.
I lolnr Occtgr100115, (.'lass A must be conducted a) cnlil-Ci} vvithin the dwClling and are nol allowed in ani accessor.\ structure, such tis a
1 CICu1c11ed garage: and h) nTtlsl he conducted b)' the owllel•/aphllcalll land other lanlih members) residing in the
Uccupadons. ('It1ss A ill also subject to the fbllo\Vi%! ICsulC:uon:;:
I ) limployees no( living in the CI1vClling arc not allol��cd•
2) There .4111,111 be 110 G11t1110C in the Outside appcau•tulcc ol'the buildings or premises. or other visible cviCICncc' ol'thC COMILICt of such
homC ocCupa0011.
:i) OC11SIdC stclragC of materials useCI in the 1101110 occupation is nett allowed.
4) Un-IircmisC sales ol'goods. 011)cr ihiul i.lcnls hand-e'af(cd on the premises. is not allowcd.
;1,1 No more than _'?';b of the IlnOr arCa ol'the dwelling nlny be dcvoled Io the I lank• OCCupation: 11nd the 101111 arCa CI VOICCI to suCh
occupation shall not CxceCd 1.50 0 sCIIIII C fcCt.
(1) No (ral'lic shall he gCnertttctl in greater volumes than WOUld nornlall� be expocted in a residential 11eighflorhu id,
7) An) need to parking shall be nlet off the street,
S) All home occupations shall conlpip with performance standards set forth in Section 4,14.
Owner/Applicant Must Read and Sign
I hereby apple for approval to conduct the I-lonlc Occupation identified above, and certify.that• this address is my legal
residence, I also cerl.i that 1 h ve read the restrictions on Nome Occupations, that I understand then). and that 1 will abide
by
J..
SiO 11HWIT Ol ON•V1lcr, Anli'aCI l llrchasor, /gent Date
Da ,time. g
hone number of Sinatory
Print Name) p C .
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l:cvlc���r;r .-- • - ---. .. --- l:?ate' - ----------
I:NCINN-IN'S RI;I'UR'f A'f"1"nC'I-[1;D: YE'SNO-
CONDITIONS:
Revised 1/1/2(111 Page 2 of 2