HomeMy WebLinkAboutHO200900083 Application 2017-06-30�--� Application for
Home Occupation Class A Permit
Home Occupation Chm A Permit = $13.00
Name of Badness: _ZI (5 "aTa r AL ,S--
Tax map and pared: s% Magisterial Dish W: d// vVz0wng: /�-
Physical Street Address (if ass4wd): r —f f 5 �k1 __0C2 cgc9936
Location of property (landmnr cs, mtersecdons, or other):
C04W Persea CMW ShMM we eallhMW rooecnmg dus praj wM: _ _ —Z�� -s ti.rtt.n ' l i a—, _
Address 0 `b Si v"40 5 1,A0 City L State_ Zip Q 93 g
Daytime l'how 13� ��� - 33��s Fax #air
Owner of Record
Daytime Phone ( )
City
Fax # { _ ) &Mail
Applicant (Who is the Contact person rep )- `'awLf — Lips C_^,Jact
Address
Daytime Phone C__)
Fax # i-_ _ }
State Zip
State Zip
14 44.-
FOR OFFICE USE ONLY HO#XVI
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Fee Amount Slate Iy who?.1����J �J� v I ivy- Ra+eipt it��CIc#_� B
a.uaulLy ui .uvcmxrie "cparijugns oI Community IlevelopmenT
401 McIntire Raad Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
2/11/2009 Page I oft
Type of Business _ 1 I Cf b - R'A j M Gc
Does the Public visit the site? Yes V--` or No
Does the use involve procedures, machinery or chemicals #bat cause noise, vibration, air or water pollution, radioactiv�, electrical
interference or non -domestic waste discharged to a septic field or sewer? If yes, perkanance stand ds must be addressed by an
engineer's report (Please request the Certified Engineer's Report packet). Yes or No
This certificate in conjunction with a business license, represents caning approval to conduct the Home Occupation identified above.
Home Occupations, Class A must be conducted a) entirely within the dwelling and are not allowed in any accessory structure, such as a
detached garage; and b) must be conducted by the owner/applicant (and other family members) residing in the dwelling. Home
Occupations, Class A are also subject to the following restrictions:
1) Employees not living in the dwelling ace not allowed.
2) There shall be no change in the outside appearance of the buildings or premises, or other visible evidence of the conduct of such
home occupation.
3) Outside storage of materials used in the hoarse occupation is not allowed.
4) On -premise sales of goods, other than items hand-crafted on the premises, is not allowed.
5) No more than 25% of the floor area of the dwelling may be devoted to the Herne Occupation; and the total area devoted to such
occupation shall not exceed 1,500 square feet.
b) No traffic shall be generated in greater volumes than would normally be expected in a residential neighborhood.
7) Any need to parking shall be met off the street.
S) All home occupations shall comply with performance standards set forth in Section 4.14.
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 them.
Signature of Owner, Contract Purchaser, Agent
Print Name
ENGINEER'S REPORT ATTACHED: YES NO X"
Date
N3q) 06-- ; 3
Da pho& number of Sigmtory
-3/-
Date
CONDITIONS: /1 L
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2/1 V2009I aW 2 oft