HomeMy WebLinkAboutHO200500101 Application 2017-07-24i
p F 700 oo 00 or 110 Ho # 2-0o5 /r'
Application for Home Occupation Class A Permit
no-,
allome Occupation Class A Permit = $13.00
Project Na
Tax map and parcel:-700 ` 00' OD'0 00 Magisterial District: Zoning:U_' (U-
Physical Street Address (if assigned): 7,7 ZZ ` 709AWSk A/k C,.= T . , /(1JT9 z &W
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?): s T, Alevio4uzo,
- T '�_ ,�!- �--�+ Address _'�7�� �rJ%I . 6L WCCity �fL��t [�..�'•a.�d�, State �� Zip 2� �
Daytime Phone (-0) WS_--4Z Fax # E-mail d fit
er of Record ,ram
Address City State Zip
Daytime Phone ( ) Fax # E-mail
Applicant (Who is the Contact person representing?): 5z"k_e'
Address
Daytime Phone (—)
City
Fax # E-mail
State Zip
OFFICE USE ONLY
Fee amount $ Date Paid Check # By Who? Receipt # By:
t.ounty 01 Atnemarle Department of Community Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
7/l/04 Page I of 2