HomeMy WebLinkAboutHO200500029 Application 2017-07-21Q.AWIM
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Application for Home Occupation Class A Permit
❑ Home Occupation Class A Permit = $13.00
Project Name:
Tax map and parceI': _0 3 `M _va agisterial District: Zoning: le —
Physical
Street Address (if assigned): 1 3
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 iyy
Contact Person (Who should we call/write concerning this project?):
Address Ciry GVV1W State VM Zip_ZZ ! f J
Daytime Phone (�) (a'Z -37CH ^_ ax # ` Lf-Z`73 �'E-Taail CLLf SZ3n I C- '-1q hcb - C.�-V-7
•ner of Record V`�k
Address
Daytime Phone (__)
Applicant (Who is the Contact person representing?):
City
Fax # E-mail
h y-)Sp
State Zip
w
Address 1 !/j G City state? 1�
p _ Zip
Daytime Phone ( 9 Cp2 ' �� () Fax # LiN'I 3 -4s mail C%V1k/Y 573+�r
OFFICE USF O ,-THY {�
Fee amount S 1 Date Paid o heck N �/ By Who?,
Receipt # 0
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 9724126
7/l/04 Page 1 of
Home Location
Type of Business
Name of Business St? U ra l S
Does the Public visit the site? Yes . or Co )' '
This certificate in conjunction with a business license, represents zoning approval to conduct the Home Occupation identities 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 ownerlapplicant (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 rot allowed.
5) No more than. 25% of the floor area of the dwelling may be devoted to the Horne Occupation; and the total area devoted to such
occupation shall not exceed 1,500 square feet.
6) No traffic *all 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.
OwnerIApplicant 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 then:, and that i will abide
by tl:ery,
Signature of Owner, tract :rc. aser Date
C �IeN 1 W -:�?) k 01 -'� & 2- -_T?
Print Name 1 Daytime phone Number of Signatory
44 --C4 JZ I (s40 5
Reviewer Date
CONDITIONS:
7/1104 Page 2 of 2