HomeMy WebLinkAboutHO200500018 Application 2017-07-21OFFICE USE ONLY
HO # CM05-0/6 z . D (�o_ _�2 0-
Application for Home Occupation Class A Permit ID
Home Occupation Class A Permit = $13.00
Project Name:
Tax map and parcel: t 3 3 Magisterial District:
Zoning:
Physical Street Address (if assigned):
Location of props landmarks, intersecti ns r the "" 0 a 1M ► v V
cor V1
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
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Contact Person (Who should we call/write concerning this project?):
Address 80l �1AC�L 4�^c�hi, ,fLi yn City
Daytime Phone 3 '3� l 3 Fax #
Owner of Record
Address
Daytime Phone ()
Applicant (Who is the Contact person representing?):
Address
Daytime Phone �}
Sco�sv;
E-mail
City
Fax # E-mail
City
Fax #
E-mail
State Zip ��0
State Lip
State Zip
OFFICE USE, ON)f
Fee amount $ ) .Z / Date Paid 41&
Check # �Hy Who? [.[ r �"L�J� Receipt #9�1 By:1
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
7/ 1 /04 Page 1 of 2
Jr" ';I fJCA�,j A
Home Location
Type of Business
Name of BusinesE
Does the Public visit the site? Yes or No
This certificate in conjunction with a business license, represents zoning approval to conduct the Home Occupation ioertitsec 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:
I) 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 or 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 scuare feet.
b) No traffic shall be generated in greater volumes than would normally be expected in a residential neighborhood.
7) Any reed 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 certif�! that I have read the restrictions on Home Occupations, that I understand them, and that I will abide
by the
_ ) \. �t� (3y
Signature of Owner, Contract Purchaser Date
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Print Naide Daytime phone number of Signatory
A_2�_ j OP/
/Reviewer T__ a Date
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