Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutHO200900154 Application 2017-07-06J_
Application for
Home Occupation Class A Permit
X Home Occupation Class A Permit = $13.00
Name of Business:
Tax map and parcel: '0q& a3- 0-1,- Do- 007-00 Magisterial. District: �� r aYy ]ira Zoning:
Physical Street Address (if assigned); / e
Location of property (landmarks, intersections, or other):
Contact Person (Who
should we ccaalllwrite concemi s project?): 6r "►a, , C-Y-k'-
Address % 8 0 3��C' LA/) City PQ State �� Zip �! /
Daytime Phone b/8 )Z2Z—
Owner of Record
Address
Fax # 60—C6 3- 32O_S E-mail
rmerl �- arakl_)(/f ei7t-a I g <;On l i
City
Daytime Phone C__) Fax # U E-mail
Applicant (Who is the Contact person representing?): A 12
Address
Daytime Phone ( )
Fax # L_)
City
E-mail
State Zip
State Zip
FOR OFFICE USE ONLY HO # _ t) `-f `/ �
f7
C�> F3 rf-.. Il T —CIO n
Fee Amount $��� Date Pai� " `a' y who? Receipt # �Ck#�gy,
County of Albemarle Department of Community Development
401 Mclutire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
2/1ltwo9 Page 1 of 2
Type of Business ( 6y}�'L!
_ l
Does the Public visit the site? Yes or No_x__
Does the use involve procedures, machinery or chemicals that cause noise, vibration, air or water pollution, 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 )C
This certificate in conjunction with a business license, represents zoning approval to conduct the Home Occupation identified above.
Horne 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. Horne
Occupations, Class A are also subject to the following restrictions:
1) Employees not Iiving 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 conduct of such
home occupation.
3) Outside storage of materials used in the home 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 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) 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 certifv that I have read the restrictions on Home Occupations, that I understand them, and that I will abide
by them.
Q-.- 6�
Signature of Owner, ntract Purchaser, Agent
(err;ann 00or
Print Name
6/a4/9
Date
('54)zz z
Daytime phone number of Signatory
6f,-, -,� Z /-a- 0,1
Re er Date
ENGINEER'S REPORT ATTACHED: YES VXQ�_
I_
2/11f2009 Page 2 of 2