HomeMy WebLinkAboutHO200900121 Application 2017-06-30Application for
Lorne Occupation Class A Permit�.;^Ar,
Wome Occupation Class A Permit= $13.00
Name of Business: '
Tax map and parcel: Q 1 I M — M-0 — M/ 00 Magisterial District:
Physical Street Address (if assigned): [qS Cr ; a- Q2 it IV` Lam —
Location of property (landmarks, intersections, or other):
Zoning: RI
Contact Person (Who should we call/write concerning this project?): l=1rG4_ �a Wt+A_
Address 19 3 G r-1 QaC - tJ2, z�a v VV�_ k.ia V-%-e City '' state
� i i 16 Zip 0')L'eCn
Daytime Phone 60J 6191116 -141 Q Pm*9�ft E-mail � SUIi�C�C�2.si �.lC�l�(YD,CLVI�
,,19:�d7- �� _ O
Owner of Record TXL\A c, i.1�� 4 \,R "_ . _ W I �i/
Dyr
Address
Daytime Phone L)
Applicant (Who is the Contact person representing?):
Address
Daytime Phone L_)
City
Fax # L_)
City
Fax #L )
E-mail
E-mail
State __ Zip
State ____ "Zip
FOR OFFICE USE ONLY Hot �j q - 'al
Fee Amount $ I3 ro Date Paid who?&) kr6[h- Receipt #/ Pi? if - Ck# By:
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
2/11/2009 Page 1 of 2
Type of Business C'[,� ` ✓l
Does tine Public visit the sire? Yes or No Del
Does the use involve procedw-es, machinery or chemicals that cause noise, vibration, air or water p6llution, radioactivity, electrical
interference or non -domestic waste discharged to a septic field or sewer? If yes, performance standards 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 zoning approval to conduct the Home Occupation identitTed above.
Home Occupations, Class A must be conducted a) entirely within the dwelling and are not allowed in any accessory- stricture, such as a
detached garage; and b) must be conducted by the ownen, 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 are not allowed.
2) There shall be no change in the outside appearance of the buildings or premises, or other visible evidence of the cond= of such
home occupation.
3 i Outside storage of materials used in the home occupation is not allowed.
411 On -premise sales of goods, other than items hand-crafted on the premises, is not allowed.
5) No more that, 25% of tide floor area of the dwelling may be devoted to the Home Occupation; and the total area devoted to such
occupation shall not exceed 1,500 square feet.
6) 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.
8) AL home occupations shall comply m ith 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 there.
Signature of Owner, Contract Purchaser, Agent
Print Name
ENGNEER'S REPORT ATTACHED: YES NO
CONDITIONS:
Date
-- ; [ T)
Da -,time phone number of Signatory
Date
2/11/2009 Page 2 of