HomeMy WebLinkAboutHO200500246 Application 2017-07-25OFFICE USE ONLY [�! Q� f �`j /'�
HO �0V 5 ` S mp D 1 V 0- (- V 0 � 0 V
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kpplication for Home Occupation Class A Permit
911ome Occupation Class A Permit = $13.00
Project Name:
Tax map and parcel: iJ-! `L < � ~ 00� gsterial District: Zoning:
Physical Street Address (if assigned): 5
Location of property (landmarks, intersections, or other):
Does the owner of this property own (or have any ownership interest in) any abutting property? Ifyes, please list those tax map and parcel numbers
Contact Person (Who should we call/write concerning this project?): WI L1.1,doe L . W� 7
Address q.r3 6 WO+Di5 i., City gy State ko �. -. Zip AW
Daytime Phone Fax # E-mail 27—
Owner of Record 3,414f :2040C L
Address 5A�� _„ City
Daytime Phone () Fax # E-mail
Applicant (Who is the Contact person representing?):
Address City
Daytime Phone Fax #
E-mail
State Zip
State Zip
OFFICE US� Q i
Fee amount $ ate Paid ® Check # aBy Who? Receipt # 4 �
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
Home Location , �'/ 3-,L a W4g00 S 06 E &P
Type of Business
Name of Business
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 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 owneriapplicant (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 dccupation 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 may be devoted to the Home Occupation; and the total area devoted to such
occupation shall not exceed 1,500 square feet.
6) No tragic shall be generated in greater volumes than would normally be expected in a residential neighborhood.
;) Any need to parking shall be met off the street.
&) 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 Horne 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 them, and that I will abide
by them.
.en, - e AW4?
ignatare of Owner, Contract Purchaser
Print 'Name
V& e D
Date
Daytime phone number of Signatory
,go Ifabzooi
4eview Date
711104 Page 2 of 2