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HO201500117 Application 2015-05-19
FOR OFFICE USE ONLY I10 fiqW1 �C) � T— 1 Q-1 t/1 � �CV,6,.AftW'Receipt 11 Ck11 CC�f� By: Pee Amount $ �5,�'ll Date Paid_By who.? C �p4 nr.uE,r Application for Tom•. :X�i `�� �r7rrr��r Class A Home Occupation Clearance ❑ Home Occupation Class A Clearance = $25.00 if owner is different ❑Certification that notice of this application has been provided to the property owner, from applicant. Home Occupation, Class A. An occupation, not expressly prohibited by section 5.2, ouctthat nothing for prot within dwelli dwelling unit solely by one or more members of the family residing within the dwelling unit; provided 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: Type of Business: /��' 560 '11<<—S Tax map and parcel: %6 "- 53 Zoning: Q�- �- Contact Person (Who should we call/write concerning this project.): / P`tL�Svl/�'State 4114Zip2Z 4z - Address ( o I ST-iA i�C� COACH a) ° City ���;� 3 %2 3 Fax # E-mail Daytime Phone (lam/) ��� ^ �—� Owner of Record ��c(����t zl��c�< l) Address �7At'�11C 1S��'� City ( �/���CI �SNr(�E' State i�� "Zip �j Z./qr G�7 Fax # L� E-mail Daytime Phone L 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: FLEA6h UnEk-n 1-12%-11-- ,' UNDERSTAND THE REQUIREMENTS FOR THIS CLEARANCE El LOCATION & AREA The that not more than twenty-five The home occupation shall be conducted entirely within the dwelling unit, provided he home tion and further (25) percent of the gross floor area the me dwelling upationlshallll be used for not exceed one tho sand fi eahundred (1500) square feet. rovided that the gross floor area used foorthe hooccupation [Section 5.2 (b)1)] %d EXTERIOR APPEARANCE earance of a dwelling unit or other visible evidence of the conduct of a There shall be no change in the exterior app home occupation. [Section 5.2 (c) 1)] ZSALES tomer who comes to the site except for goods that are hand-crafted on - No home occupation shall sell goods to a cussite and goods sold that are directly related to a beauty shop or aone-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 1 of 2 © TRAFFIC The traffic generated by a home occupation shall not exceed the volume that would normally be expected by a welling 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 (lc)] Does the use involve procedures, machinery or chemicals that may cause tthSe following? YENO 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). [12 PROHIBITED USES y The following uses are expressly prohibited as home occupations: (1) tourist lodg ing; (2) nursing homes; (3) nurser 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 by4hure h. of Owner/Ap icant Date ,ul -79_5 ----X-1 z z:� Daytime pho le number of Signatory /Date NOy ENGINEER'S REPORT ATTACHED: YES CONDITIONS: 7/1/2011 Page2o]72 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 the owner of record of Tax Map [name(s) of the record owners of the parcel] and Parcel Number manner identified below: by delivering a copy of the application in the Hand delivering 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 i/ ailing 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]. Si nature of Applicant 1 C'All'L GVl Print Applicant Name .5 /y / J' Date