HomeMy WebLinkAboutHO200400404 Application 2017-07-26J Am�_
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Application for Home Occupation Class A Permit
Home Occupation Class A Permit = $13.00
Project Name:
Tax map and parcel: (MW . 0 Magisterial District-1 Zoning:
Physical Street Address (if assigned):
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?):
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Address i City State l.� ZipXRIJ.
Daytime PhoneQL 0 7 Fax # E-mail
Owner of Record Tw
Address e City State zip
Daytime Phone O Fax # E-mail
Applicant (Who is the Contact person representing?):
Address
Daytime Phone (__-__)
City
Fax # E-mail
State Zip
OFFICE U�Y
Fee amount S Date Paid Check 411L By Who? Receipt #� By:
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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Home Location Solt
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 owmer/applicant (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 not allowed.
5 j No more than 25% of the floor area of the dwelling may be devoted to the Home Occurs_ ation; and the total area devoted to such
occupation shall not exceed 1,500 square feet.
6 j No traffic 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.
8) All Nome 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 certify that I have read the restrictions on Home Occupations, that I understand there, and that I will abide
by them.
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Signature of Owner,Date
Contract Purchaser Da +
i!llen Lo}f C 77 -7
Print Name Daytime phone number of Signatory
Reviewer Date
CONDITIONS:
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