HomeMy WebLinkAboutHO201000272 Legacy Document 2011-06-200;
Application for
Home Occupation Class A Permit
Home Occupation Class A Permit = $13.00
I
-Name-of Business ti� � i 1 2NS�7
Tax map and parcel,' Magisterial Di trio: 'Zoning:
Ph)'sicalStreetAddress(ifassijmClVr��.-�-N
ed): 3 I -�I bt7 oY-ft Lc,-aVIc�t= T Zz�O
Location of property (iand,,,ari<s, intersections, or other): I�:-, Il LL LQT 03
Contact Person (Who should we call/write concernin.0 this project?): JN�-�
Address 0 Ic iv2� S1y/� ��(= / City C.*V T%e3y1CC�State Zip
Daytime Phone i' 23D Fax # L_) i� /� E-mailS'� ( �S�y� G>�(It �C
Owner of Record -SAh1 E '—
Address
Daytime Phone (_)
Applicant (Who is the Contact person representui.0):
Address
Daytime Phone (__)
Ci ty
Fax # (_) E-mail
City
FOR OFFICE USE ONLY HO #
to
Fee Amount C i/ V v Dale PaicY G //v//6By who? I Ut
E-mail
State Zip
State Zip
ffI
Receipt # 1 �� `)( � Ck# Z C -D ! C
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Vofce: (434) 296-5832 Fax: (434) 972-4126
2/11/2009 Page I ort
'i ype of Business
Co�SvL7�a' 6
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 stand rds must be addressed by an
engineer's report (Please request the Certified 1✓ngineer's-Report packet). Yes or No --4—
This
This certificate in conjunction with a business license, represents zoning approval to conduct the home Occupation identified above.
Horne 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. Horne
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 )ionic 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 4ertifv that I have read the restrictions on Home Occupations, that I understand them, and that I will abide
Signature -of 0
Print Name
/Z - ZZ—/d
act Purchaser, Agent Date
b2_NSG3`'l . L -)3`i- S3 (-23vZ
Revie r
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
Daytime phone number of Signatory
Date
12-;22-1v
2/11/2009 Page 2 of2