HomeMy WebLinkAboutHO201100172 Legacy Document 2011-08-22Fee Amount %Date Paid�*By who? fty� L &C C� Receipt # �Ck# VJ By,
Application forr'`P.
Class A Nome Occupation Clearance
❑ Home Occupation Class A Clearance = $25.00
❑Certification that notice of this application has been provided to the property owner, if owner is different
from applicant.
Home Occupation, Class -4: An occupation, not expressly prohibited by section 5.2, conducted for profit within a dwelling
unit solely by one or more members of the family residing within the dwelling unit; provided that nothing herein prohibits the
occupation from engaging other persons who work off-site and do not come to the dwelling unit to engage in the occupation.
Name of Business: �7 G' i G1Y� �ty� ban Le'
Type of Business: t) CL v C�r�� ^ �' �'� l n'iN•c."�10!1
Tax map and parcel: Zoning:
pp r Qa �
Contact Person (Who should we call/write concerning this project?): )4t C CX^ e_ "Gkk SCA
Address ,i, to -'� C� G,�_w C .� City. Ate, State J Zip a -a°) t!
Daytime Phone(2Q3Ll gl3Jjk Fax#(_) E-mail (LSAst, ��4 �M%t�. cops
Owner of Record" ,+�,2 'c C i
TRAFFIC
The traffic generated by a home occupation shall not exceed the volume that would normally be expected by a
dwelling unit in a residential neighborhood. [Section 5.2 (e)]
PARKING
All vehicles used in a home occupation and all vehicles of customers, clients or students shall be parked on-site.
[Section 5.2 (f)]
PERFORMANCE STANDARDS
The home occupation shall comply with the performance standards in section 4.14. [Section 5.2A (k)]
Does the use involve procedures, machinery or chemicals that may cause the following?
YES NO
NOISE
VIBRATION ✓
GLARE
HEAT
AIR POLLUTION
WATER POLLUTION
RADIOACTIVITY
ELECTRICAL DISTURBANCE
NON-DOMESTIC WASTE DISCHARGED TO A SEPTIC FIELD OR SEWER
If YES, then applicable standards must be addressed with a Certified Engineer's Report (available from staff).
PROHIBITED USES
The following uses are expressly prohibited as home occupations: (1) tourist lodging; (2) nursing homes; (3) nursery
schools; (4) day care centers; and (5) private schools. [Section 5.2 (h)]
WAIVERS AND MODIFICATIONS: The above standards are eligible for waiver or modification by the Planning
Commission. Ask staff for more information about applicable fees and process. [Section 35 and Section 5.11
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.
Signature of Owner/Applicant
a�c� Gti..n UCL ��5 i0 V.�i,C-i
Print Name,.AZ�D
Reviewer
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS: LA3 C,1
Dsd ii xz, kk
Date
(HD-1
baytime phone number of Signatory
Date
7/1/2011 Page 2 of 2
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
I certify that notice of the application,
[County application name and number]
was provided to <--e-YAc�r-e _ LL(-.,, the owner of record of Tax Map
[name( f the record owners of the arcel]
and Parcel Number
manner identified below:
by delivering a copy of the application in the
V Hand delivering a copy of the application to M6cc�st�-
[Name o e record owner if he record owner is a
person; if the owner of record is an entity, identify the recipient of the record and the recipient's
title or office for that entity]
on 2511`i
Date
Mailing a copy of the application to
[Name of the record owner if the record owner is a person;
if the owner of record is an entity, identify the recipient of the record and the recipient's title or
office for that entity]
on
Date
to the following address:
[address; written notice mailed to the owner at the last known address of the owner as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
Signature of Applicant
/4cn
Print Applicant Name
Date