HomeMy WebLinkAboutHO200500097 Application 2017-07-24Application for Home Occupation Class A Permit
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❑ Home Occupation Class A Permit = $13.00
Project Name: �/ D
Tax map and parcel: o?&0 02 —09 Y 0IXSD00gisterial District: Zoning: PP_ 1)
Physical Street Address (if assigned): �J o z 2y//
Location of property (landmarks, intersections, or other):
Does the owner or 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?): Da V (t' . ko- (I
Address '1 7 -ex k-e� City C kar LA-esui l fe State 04 Zip
Daytime Phone (� Z ' Fax #
E-mail d_ctwieltW Ry*GS(2e,o� c�,C�r1tit
,caner of Record <7e t QdQ
Address �t6 2&__ -e4 4 -�-er_ C-4 State V14 Zil)
Daytime Phone `3A �] ��9�� Fax # E-mailc{Gtt,1 i e( 0 r r-, �y _%
Applicant (Who is the Contact person representing?);
Address 'Z'S &ziAecCZ City 'JftT[h �Sl/1/(P State Zips /
Daytime Phone (41� Fax #
E-mail
OFFICE U ON Y
Fee amount S Date Paid k # Who? Receipt >Y Lqgu:
County of Albemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax. (434) 972-4126
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