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HO200900210 Application 2017-06-30
Application for Home Occupation Class A Permit Home Occupation Class A Permit = $13.00 Name of Business: 1?9!5%14S L � LA i 4 0" S 1- L' C— �� Tax map and parcel: 0*i D O O a— Oo — Oo agisterial/d District: V/A/1 tz HA r fit- Zoning: Izu AA'L-- Physical Street Address (if assigned): 1S9 I 4AJZTq 1zJ GK�R� 7- r�/ c.c E 2-7-7 0 Location of property (landmarks, intersections, or other): Contact Person (Who should we call/write concerning this project?): �7"rrG+IE ^r C z-1-A; '6fh Address T!;-9 / 6/t'0W go City 641"[!�- State J�k Zip ZVI 0 S Daytime Phone * • f%sy Fax # � d Owner of Record A[ /4-10 G4. Kh#! Address Daytime Phone C__) Applicant (Who is the Contact person representing?): Address Daytime Phone Fax # L_) Fax # L_) City E-mail State Zip City State Zip E-mail FOR OFFICE USE ONLY AO # 9rd0'f- d 0 el a '/ Fee Amount $ 4&hP Date Paid �J8 ® By who? �Y✓���di/!J'Y� Receipt # 7%4'e/J ' Ck# e° LOf 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 of2 Type of Business 4!$5�J6AM_ C&_4 Toj.,_ c, , Does the Public visit the site? Yes or No V-11, the use involve procedures, machinery or chemicals that c e=9ol 0_ --�ge gy,oisF vibration, air or water interference or non -domestic waste discharged to a septic field o �- c e er? ]fYeS� P forr ance stanPollution, radioactivity, electrical engineer's report (Please request the Certified Engineer's Reportr�z�o,c1� mot) Yes_, ids must be addressed by an This certificate in conjunction with a business license represents - -� �!z sag approval to cor: Iforre Occupations, Class A must be conducted a) entirely withi r --ia L rrlf�,e <JIveliing and are n .duct the Home Occupation identified above detached garage; and b must be conducted b the owner/a lico �r -� ti- arz other family e n� Dt lowed in any accessory structure Y pp Dccupations, Class A are also subject to the following restrictiol ers) residing in the dwelling• Home uch s 1) Employees not living in the dwelling are not allowed. Z) Th ere shall be no change in the outside appearance of the bu iE T cJ i r �g or e hone occupation. P' mises, or other visible evidence of the conduct of such Outside storage of materials used in the home occupation is - . wpL::vtc _, On -premise sales of goods, other than items hand-crafted on VW 1i %C�: !�)re :mises, is not allor� ed. i) No more than 25% of the floor area of the dwelling may be clJtti ��a✓�{,_eC _ o the Home Occt; - occupation shall not exceed 1,500 square feet. Pati0n; and the total area devoted to such t) No traffic shall be generated in greater volumes than would a..,;�r:�5rtdtiZ y `i Any need to parking shall be met off the street. be Expected in aresYdential 1 All home occupations shall comply with performance standa.r cr_..Il_,, ; �t l-orth neighborhood. it section 4.1- Owner/Appliieamta_1st Read and Sign Ihereby apply for approval to conduct the Home Occupation _identified above nde residence. I also certify that I have read the restrictions on H[x�cxe p4cuAations, that I t�fy that this address is my le aI by them. understand them, and that I g _0 _ , - will abide Signature of Owner, Contract Purchaser, Agent Sr��I M C/fu•f-wit„/ Print Name ENGINEER'S REPORT ATTACHED: YES f.ZS.o Date �3 � Daytime ¢bg' S9s� phone number of Signatory ~ �/� © R Date 2/11/2009 Page 2 af2