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Application for Home Occupation Class A Permit
EWome Occupation Class A Permit = $13.00
Project Nam
Tax map and parcel: to — 8 /q Magisterial District: W hi-62ha%if Zoning: P
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Physical Street Address (if assigned):
Location of property (landmarks, intersections, or other):
Does the owner of this property own (or have any ownership interest in) any abutting property? If yes, please list those tax map and parcel numbers
Contact Person (Who should we call/write concerning this project?): l-21i, (2ram`
Address q 0 a , "C>.A'V�. ' ' V% City
Daytime Phone S3 ( t4A -I- Fax #
Owner of Record
web Z e State Zip
_ E-mail
Address 1+k YL City State Zip
Daytime Phone OVAJ 8k, + (%( Fax # E-mail
Applicant (Who is the Contact person representing?):
Address _ _,z City
Daytime Phone L_)
Fax #
E-mail
State Zip
OFFICE USE ONLY ,, ,,/� �, �� ,p �.t
Fee amount $ 1 A ,0n Date Paid Q-q—C(O Check #CCLa ' By Who?-- � "4:Q r,�C.�C�Cs 1, Receipt # 15-94 2y:
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fast: (434) 972-4126
7/l/04 Page 1 of 2
Home Location q na I ' -
Type of Business
;Name of Busire..s!
Does the Public visit the site? .Yes Q
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This certificate in conjunction with a business license, represents zoning 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 owrner'applicart (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 :nay be devoted to the Home Occupation; and the total area devoted to such
occupation shall not exceed 1,500 square feet.
5) 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 applyfor approval to conduct the Home Occupation identified above; and certify fh t this address is mylegal
rebidene.e. I also certify that I Nave read the restrictions on Home Occupations, that I understand them, and that I will abide
by them.
Sig of Owner, Contract Purchaser
Print dame L
/1
Reviewer
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2_9Rola
Date
54 53 ! -(4-3 d- --
Day -ime phone number of Signatory
Date
7/1/04 Page 2 of 2