HomeMy WebLinkAboutHO201600041 Application 2016-02-23FOR OFFICE USE ONLY HO
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ion for
class A Fume Occupation Clearance
Iiomemimati on Class A Clwrmee = $27.44
Home t,~ec"fion, Class A: An occupation, not expressly prohl'bited by section 5.2, conducted for profit within a dwetlii V
unit solely by one or more members of the family residing within the dwelling unit, provided that nothing herein prolnUts the
occupation from engaging other persons who work off-site and do not came to the dwelling unit to engage in the occupation.
Type of Badness:
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Owner of
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This ceriifcate, in conjunction with a business license, represents zoning approval to conduct the Class A Home Occupation
identified above. Each horde occupation is subject to the following.
RLEASE C SU ECK EACH -BOX 80 THAT ff M CLEAR TfU T "YOU JAVE READ
LOCATION & AREA
The home occupation shall be conducted entirely within the dwelling unit, pxMded. that not more than twenty-five
(25) percent of the gross floor area of the dwelling unit shall be used for the home occupation and further provided
that the gross floor area used for the house occupation shall .not exceed one thousand five hundred (1500) square feet.
[Section 5.2 (b)1)[
ip /FMrMOR APPEARANCE
There shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of a
home occupation. [Section 5.2 (e) 1)]
L�' SALES
No home occupation shall sell goods to a customer who comes to the site except for goods that are hand-crafted on-
site
nsite and goods sold that are directly related to a beauty shop or a one -chair barber shop home occupation.
[Section 5.2 (d)]
County of Albemarle Department of Community Development
441 McIntire Road Chnrrloth vllle, VA 22942 Voice: (434) 296-5832 Fag: (434) 972-4126
1111/2015 Page 1 oft
TRAFFIC
The traffic generated by a home occupation shall not exceed the volume that would normally be expected by a
dwelling unit in a residential neighborhood. [Section 5.2 (e.)]PARKING
All ole:$ used in a home occupation and all vehicles of customers, clients or students shall be parked on-site,
n 5.2 (1)l
13 PERFORMANCE STANDARDS
Thr home Occupation shall cantply with the performance, standards in section 4.14. [Section 5.2A (k)l
Does the use involve procedures, machinery or chemicals that may cause the foSov&g7
NOISE YES NO
VIBRATION
GLARE
HEAT
AIR POLLUTION
WATER POLLUTION
RADIOACTIVITY
ELECTRICAL DISTURBANCE
NON-DOMESTIC 'WASTE DISCHARGED TOA SEPTIC YIELD Olt SERER
If YES, then applicable standards must be addressed with a Certyiified Eagineerrs Report (available from st&M.
�ROHiBITED USES
The following uses arc expressly prohibited as home; occupations: (1) tourist lodging (2) nursing homes; (3) nursery
schools; (4) day care centers; and (5) private schools. [Section S.2 ()j
WAIVERS AND MODIFICATIONS: The abuve standards are edible for waiver or modification by the Planning
Commission. Ask staff for more information about applicable feta and process. [section 35 and Section 5.11
Owner/Applicant Must Read and Sign
I hoseby apply for approval to conduct the ):Tome Occupation identifier) 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 theem and that I w l
by them.
Si gfiU of 0w=1AppH t
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ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
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Daytime phone nulnbe r of Signatory
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abide
11/14015 PW2of2
CERTIFICATION THAT NOTICE OF THE
APPLICATION ION HAS BEEN PTO *E'" To THE LANDOWNER
Tv ftrm nuat acamvaxy zaaw app #ons (HMv OWmpadon� Zoe aeamam zenbc
AalaMWator Detambutioracs orAPpea, Stir Perms, BriHAV Perna 1 aj he applleadorr As am the
manor.
I certify tlt notice of the application,
[Y application name Ad numb]
was provided to the owner ofrecord of Tax Map
[nsme(s) of the record owners of the parcel]
ad Parcel Number *0 by delivering a copy of the application in the
manner identified below:
Hand delivering a copy of the application to L[��
jl+lame of the record owner ifthe record owner is a
person; ifthe owner of record is an entity, identify the recipient of the record and the reciplent's
title or office for that entity]
on 'P
Mailing a copy of the application to
[Name of the record owner ifthe record owner is a person;
ifthe owner of mord is an entity, identify the recipient of the record and the recipient's title ar
office for that entity]
on to tine following address:
Date
{address; written notice mailed to the owner at the last known address of the owner as shown on
the ccirre u seal estate tax assessment books or current real estate tax assessment records sav aties
ties requirement].
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ofAppli
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Print Applicant Name !
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