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HO201500115 Application 2015-05-13
FOR OFFICE USE ONLY HO # ao I -s- Fee Fee Amount $ 9S--00 Date Paid % y who? `1Zfj SW't(- Pf`b Receipt # C) - \7 30 Ckil 09 1 BY: ASCL _ Application fore,^ Class A Home 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 A: 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: rCe (1s we Type of Business: b— 2 lt_d I Tax map and parcel: 0100000000 58O Zoning: project?): Contact Person (Who should we call/write concerning this roJect? : z tfLr'/ fz- t L=`f.I Address I VX J w-� I� �l City State VA ZipZ 7 Daytime Phone (arg 4.53 — 4-7 Z7 Fax # (� E-mail i h u tY I 5 Owner of Record Address Daytime Phone L__) Fax # (� City state Zip E-mail This certificate, in conjunction with a business license, represents zoning approval to conduct the Class A Home Occupation identified above. Each home occupation is subject to the following: UNDERSTAND THE REQUIREMENTS FOR THIS CLEARANCE LOCATION & AREA The home occupation shall be conducted entirely within the dwelling unit, provided that not more than twenty-five (25) percent of the gross floor area of the dwelling unit shall be used for the home occupation and further provided that the gross floor area used for the home occupation shall not exceed one thousand five hundred (1500) square feet. [Section 5.2 (b)1)] © EXTERIOR APPEARANCE There shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of a home occupation. [Section 5.2 (c) 1)] SALES No home occupation shall sell goods to a customer who comes to the site except for goods that are hand-crafted on- site and goods sold that are directly related to a beauty shop or a one -chair barber shop home occupation, [Section 5.2 (d)] County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 7/1/2011 Page I of LJ 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)] "r' El PERFORMANCE STANDARDS The home occupation shall comply with the performance standards in section 4.14. [Section 5.2A (lc)] Does the use involve procedures, machinery or chemicals that may cause the following? NOISE VIBRATION GLARE HEAT AIR POLLUTION WATER POLLUTION RADIOACTIVITY ELECTRICAL DISTURBANCE NON-DOMESTIC WASTE DISCHARGED TO A SEPTIC FIELD OR SEWER YES NO V/' `/ ✓ If YES, then applicable standards must be addressed with a Certified Engineer's Report (available from staff). D 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 Print Nam je Rev ewer ENGINEER'S REPORT ATTACHED: YES NO CONDITIONS: �n Z M Date ) 4S -6-41N Daytime phone number of Signatory /Zv / es Date 7/1/2011 Page2of2 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, was provided and Parcel Number manner identified below. Hand delivering a [County application nameand numb r] the owner record of Tax Map of the record owners of the parcel] by delZring pyof the application in the of the application to person; if the owner of re rd is an entity title or office for that entity] on Date Mailing a copy of th/Jan cation to [Nan if the owner of recoentity, identify office for that entity on Date .e of the record owner if the record owner is a the recipient of the record and the recipient's of the record owner if the record owner is a person; &recipient of the record and the recipient's title or to the followiXg address; [address, w itten notice mailed to the owner at the last knc the cuVirement]. real estate tax assessment books or current real this re s of the owner as shown on assessment records satisfies Signature of Applicant Print Applicant Name Date