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HO201500145 Application 2015-07-20
FOR OFFICE USE ONLY HO # Fee Amount $ QLSS'v 0 Date Paid 7-6- By who? Receipt // / W S0C Ck# Q06 A By:'AS (01Application forClass A Home Occupation Clearance Y1 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: _,, .��P A 1 R E Z- i S i N& � s(S m 6,MS Type of Business:SAU5 T C e (- P 03 T i I'0 K A 6- tC i G v L D)i A•L OSE 0#z'y OTT/(C6 Uig' Tax map and parcel: 661 x 2 o— 0b — o04 CO Zoning: Contact Person (Who should we call/write concerning this project?): ®t l V , K A S 13 Address'T�d 00-D!,Alei UCity 60Art,•QT%E�UState V/¢ Zip 7— 7—J ©( Daytime Phone ( °t�) `'LI'L 6 Z3 /b Fax E-mail E-mail S 86K(iF, 9 0 ER0�ALA...e9A(_ , COA J Owner of Record V L 1/ G �` e K Address d 'a , C. OLS & � p City State Zip Daytime Phone L__) Fax # L__) 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: PLEASE CHECK EACH BOX SO THAT IT IS CLEAR THAT YOU HAVE READ AND UNDERSTAND THE REQUIREMENTS FOR THIS CLEARANCE 91 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 1 of 2 ® 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? NOISE . VIBRATION GLARE HEAT AIR POLLUTION WATER POLLUTION RADIOACTIVITY ELECTRICAL DISTURBANCE YES NO >` X X x k 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 5.1] 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 th=. _ Signature of Ov4her/Applicant Date D L� i✓� / S Rc9 61eK qo� Print 1ne Daytime phone number of Signatory 11 f Re ewer Date ENGINEER'S REPORT ATTACHED: YES NO CONDITIONS: 7/1/2011 Page 2 of 2 0 F 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 to [name(s) of the record and Parcel Number,, manner identified el w Hand delivering person; if the owner title or office for tha on Date [CCpdnty application name and number] the owner of record of Tax Map the parcel] by delivering a copy of the application in the application to [Name of the record owner if the record owner is a is an entity, identify the recipient of the record and the recipient's Mailingcopy of the application to 1% [Name of if the owner of record is an entity, identify the r office for that entity] on Date -d owner it Me recora owner is a person; of the record and the recipient's title or 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 Print Applicant Name Date