HomeMy WebLinkAboutHO201000271 Legacy Document 2011-06-06Application forHome Occupation Class A Permit Ob
Home Occupation Class A Permit = $13.00
Name of Business:
nPIK
Tax iitlp and parcel: / � A OS -� o : I d�4ngisterial District. i t� Zouing:
Physical Street Address (if assigned):
Location of property (landmarks, intersections, or other):
Address
Daytime Phone L__)
Fax # L_)
City
E-mail
State Zip
FOR OFFICE USE ONLY H0#
Pee Amount S I Date Paid I By who? S; I Receipt # O ( � Ck#! 6 N 13y
County of Albemarle Department of community luevelopineut
401 McIntire Road Charlottesville, VA 22902,Voice: (434) 296-5832 Fax: (434) 972-4126
2/11/2009 Page I oft
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Contact Person (Who should we
call/write concerning this project?):
Address 2cs1(n
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City aeii,,, 'ffesyiI1P State VA
Zip ZZ9t
Daytime Phone %( �Z)
0 G O 9 Fax # L_)
E-mail 1a� Yl aye-)'y 7-00 ( P
Com
Owner of Record
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City C "- Ae_j-V(C State VA
Zip z Z q �
Address
01A
Daytime Phone7�)
-7 0609' Fax # L-
E-maiki �l V,?,n 200
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Applicant (Who is the Contact person
representnig?): Sq mg
qS 'A a>lL
Address
Daytime Phone L__)
Fax # L_)
City
E-mail
State Zip
FOR OFFICE USE ONLY H0#
Pee Amount S I Date Paid I By who? S; I Receipt # O ( � Ck#! 6 N 13y
County of Albemarle Department of community luevelopineut
401 McIntire Road Charlottesville, VA 22902,Voice: (434) 296-5832 Fax: (434) 972-4126
2/11/2009 Page I oft
Type of Business C� r-ki Pa K to
Does the Public visit the site? Yes or No
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(Pleasc•request-theGertified-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
------detachedgarage; of d-1)-iiiust-be condacted-by-the ovtner/appiicant-(andoth-er-famrlymembers)-residin-imthe.-dwelling: -Home
Occupations, Class A are also subject to the following restrictions:
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 Home Occupation identified above, and certify that this address is 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.
gn ture of Owner, ContractP c laser, Agent
L.
Print Name
Re viewer
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS
Date 7
`732, � `)"?0 `0G C�'?
Daytime phone number of Signatory
Date
)'�L/14 � I (D
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