HomeMy WebLinkAboutHO200900072 Application 2017-06-30Application for
Home Occupation
Floss A Permit
��Iome Occupation Class A Permit= $13.00
Name of Eosin
Tax map and parcel: C i (D�{ c ' Magisterial District: 1 (Zoning:
Physical Street Address (if assignecl): G �� fr !�� ,� 1� z'
Location of property (landmarks, intersections, or other):
Contact Person (Who should we call/write concerning this project?):
Address
Daytime Phone ( )
Owner of Record
Fax # L_j
City
E-mail
Zip UZ123 T6
Address _ v J % � �1 7 City r - - ✓� � State 1 _ Z.&
Daytime Phonee� /t.� ax # LJ) E-mail
Applicant (Who is the Contact person representing?):
Address City State _ Zip
Daytime Phone U
Fax # C_)
E-1mi I
FOR OFFICE USE ONLY �p HO #n yy y}0,�1 -" 77 2 J ��
Fee Amount $ I a Date Paid r By who? ll/(�f Vf Paw, �JReceipl it � Ck�{.166 Bye�� L
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
Type of Bus4ness
I
oes the Pub'.iC visit tlhe site? Yes or No
?)oes tlhC ,i e invoiv(' procedure", M."Ce,iriery or chemicals that cause noise, vibration, air or nl"':ooxtivily, ei::C•.r!("ai
interference or tlon-dcrnestic waste discharged to a septic field or sewer? byes, performance stall:]' "I's n-111st be addressed by an _
elhgi's Report packet,, Yes or No
reer's report il'iease-equest the Certified Engineer
T:h:s Cert'ifkat.', in conjunctio'_i with F. business !:cans(:, represents zoning approval to Col.duct the Homo Cccunation Sdentlfitd, abo,,e.
i'lome Oc3.I-okonS, Class A must be condro'ed a) snore;,, wltlim the dwelling and are not a'.:D:'rec'.:n any iiccessory strl',V ;rc, slich as a
CietaCl7eC Darage; :il.t� �') r17llSt 'Je COri:ltiCteCi b;' tht owner: applicant i1anC other f£ih111y nhernbers; rtsidin" it the dwelllllb, Home
Occupations. Ciass A are a:so sub-ec. to the fo;iowing restrictions.
iilnn:hithare hoalowc.w
2) There suitII be no change in the eiaside aapearanze of the buiidings or premises, or other visible uvic1e11Ce o:`the conduct of such
home occtv)ation.
3) outside storage o; inaterials used in the home ccctip£tion ,s not allowed,
4) or.-prernise sales of goods, other thar items hand-crafted or the premises, is not allowed.
5) No more than 25%n of the floor area of the dwelling may be devoted to the :tome Occupation; and the total area devoted to such
occupation sih£1, not exceed :,500 square feet.
G) l� o traffic shall be generated ir. gieat:r vo;umes tihaih wou_cl norihhaliy be expected in a residential neighborhood.
?) Any need to parking steal; be met off the street.
8) All home occupations siha:l corrpiy with performance standards set forth i:, Ssction 4,14.
1 hera1.
.y for approval to
reside. I also certify that I
by
Print Nan.e
Owner/Applicant Must Read and Sign
{ P* the Home Occupation identifies above, and cerlify t iat this address is nay legal
read the res fictions on Hone Occupations, he, I understmid there, and that's' will abide
Owner, Contract Purchaser, Agent
3-z
Date
Da)time phone number of Signatory
vie�ver
Date
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
6
e�
MAR 09 2D09
cum
9 r°^�'� m
2I1 1/2009 Paige 2 of 2