HomeMy WebLinkAboutHO201600198 Application 2017-01-17FOR OFFICE USE ONLY HO # \ �(' , —
Fee Amount $ @1 0 Date Paid l v By who? VI CJI1Q(� llal V Receipt # 1(A99'S Ck# CA,&4 By: EAQ�
Application for Major Home Occupation Clearance k= ""�
(Only for parcels in the Rural Areas Zoning District) .,,,�,,
❑ Major Home Occupation Clearance = $27.00 + applicable fees
Home Occupation, Major: An occupation, not expressly prohibited by section 5.2A, conducted for profit within a dwelling
unit solely by one or more members of the family residing within the dwelling unit and up to two (2) additional persons not
residing within the dwelling unit, with or without the use of accessory structures; provided that nothing herein prohibits the
occupation from engaging other persons who work off -site and do not come to the dwelling unit or to any accessory structure
to engage in the occupation.
Applicant MUST HAVE the following information to apply:
1) Tax Map and Parcel Number (or Address) and a description of the Home Occupation.
2) A Floor Plan Sketch on the next page with the following:
a) The total square footage of the dwelling;
b) The square footage of area within the home being used for the occupation
(note this cannot be more than 25% of the gross square footage of the dwelling).
3) If applicable, a survey, plat, or aerial map showing accessory structures and parking associated
with the home occupatiorgmThe GIS Web enables easy viewing and printing of aerial maps.
Name of Business:
Type of Business:
Contact Person (Who should we call/write
Address 5511 mot)
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State � Zip �pq3I
Daytime Phone (+ :�A Fax Z("'` ` ) E-mail
Owner of Record
Address �n5` I� Cl l ll 7 1 1 lJ City �(� `I J V 1 I State -\LA— Zip
Daytime Phone
Fax #( )
E-mail
DESCRIPTION OF USE (If necessary, attach an additional sheet. Include information about the number of vehicles and
number of employees associated with the use, hours of operation, use of accessory structures, etc.):
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County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
11/1/2015 Page 1 of4