HomeMy WebLinkAboutHO200900170 Application 2017-07-06Application for
Home Occupation Class A Permit
Rome Occupation Class A Permit = $13.00
Name of Business: o f;/1
Tax map and parcel: _ Q'��� 4 d/O/��l�O/--OXr ,4 Magisterial District:
Physical Street Address (if assigned):
Location of property (Iandmarks, intersections, or other):
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e Zoning: Ire/ r
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Contact Person (Who should we call/write concerning this project?). r�
Address City State
Daytime Phone �/ 5G Fax # E-mail
Owner of Record
Address // L City State z/' 9 - Zip
Daytime Phone �f(� Fax # L ) �- E-mail
Applicant (Who is the Contact person representing?):
Addresst�tate%4Cl�f'�ip
Daytime Phone �} �' GJ / % 0 Fax # (r) &mail
FOR OFFICE USE ONLY HO # 170
Fee Amount $ AR67d Date Paid y.4y who? .6;0° Receipt # 757aP9"Ckff C'A-4,5/ By: r
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fag: (434) 972-4126
2/11/2009 Page 1 of 2
Type of Business
Does the Public visit the site? Yes or Nal'z�'7
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 stpndards must be addressed by an
engineer's report (Please request the Certified Engineer's Report packet). Yes or Noe-1-0
This certificate in conjunction with a business license, represents zoning approval to conduct the Horne 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 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 certify that I have read the restrictions on Home Occupations, that I understand them, and that I will abide
4blbthem.
Signature of Owner, Contract Purcha , Agent
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Print Name
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fewerINEER'S REPORT ATTACHED: YES NO (/
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Date
Daytime phone number of Signatory
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Date
2/11/2009 Page 2 of 2