HomeMy WebLinkAboutHO201800085 Application 2018-02-22FOR OFFICE USE ONLY V � V W
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Application for
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Class A Home Occupation ClearanceQtl 7
Home Occupation Class A Clearance = $27.00
Home Occupation, Class A. An occupation, not expressly prohibited by section 5.2, conducted for profit within a dwelling
unit solely by one or more members of the family residing within the dwelling unit; provided that nothing herein prohibits the
occupation from engaging other persons who work off -site and do not come to the dwelling unit to engage in the occupation.
Name of Business:
Type of Business:
Tax map and parcel:
Zoning ��� t`✓j 41�t1V V1 r� �,� iy�Ot� B I �t� �� �-�
Contact Person ("Itto should tine callAwite conceming this project?): &e yN ?U 40 pem
Address `l00 Z)54 h D #Peloy
City t!1 �''s✓: 11 e State_ Zip
Daytime Phone l%N I"- 39y Fax # (_)
Owner of Record l._�(�
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Address � � t'Y Jt I ` /
City Gh 1e1J��3- m j ,V-� State ►/ Y,i- Zip �-"Z117Lo f
Daytime Phone (y3y)y�-610U Fax # (—_)
E-mail
This certificate, in conjunction with a business license, represents zoning approval to conduct the Class A Home Occupation
identified above. Each home occupation is subject to the following:
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BOX SO THAT IT IS C
YOU HAVE READ
D r'OCATION & AREA �X_3 (1 G rktf) Oyl 64"el
The home occupation shall be conducted entirely within the dwing unit, provided that not more than twenty-five for the home occupation and further provided
[Section 5.2 (b) l))
(25) percent of the gross floor area of the dwelling unit shall be used
that the gross floor area used for the home occupation shall not exceed one thousand five hundred (1500) square feet.
EXTERIOR APPEARANCE
There shall be no change in the exterior appearance of a dwelling unit or other visible evidence of the conduct of a
—,
home occupation. (Section 5.2 (c) 1)]
u SALES
No home occupation shall sell goods to a customer who comes to the site except for goods that are hand-crafted on -
site and goods sold that are directly related to a beauty shop or a one -chair barber shop home occupation.
[Section 5.2 (d)]
County of Albemarle Department of Community Development
40) McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
11/1/2015 Page 1 of 2
L�J TRAFFIC
The traffic generated by a home occupation shall not exceed the volume that would normally be expected by a
dwelling unit in a residential neighborhood. [Section 5.2 (e)]
1_YPARKING
All vehicles used in a home occupation and all vehicles of customers, clients or students shall be parked on -site.
[Section 5.2 (f))
O- ERFORMANCE STANDARDS
The home occupation shall comply with the performance standards in section 4.14. [Section 5.2A (k))
Does the use involve procedures, machinery or chemicals that may cause the following?
NOISE
VIBRATION
GLARE
HEAT
AIR POLLUTION
WATER POLLUTION
RADIOACTIVITY
ELECTRICAL DISTURBANCE
NON -DOMESTIC WASTE DISCHARGED TO A SEPTIC FIELD OR SEWER
YES NO
If YES, then applicable standards must be addressed with a Certified Engineer's Report (available from staff).
O-PfY/ROHIBITED USES
The following uses are expressly prohibited as home occupations: (1) tourist lodging; (2) nursing homes; (3) nursery
schools; (4) day care centers; and (5) private schools. [Section 5.2 (h)]
WAIVERS AND MODIFICATIONS: The above standards are eligible for waiver or modification by the Planning
Commission. Ask staff for more information about applicable fees and process. [Section 35 and Section 5.11
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 them, and that I will abide
by them.
G '� a - a
Signature of Owner/Applicant Date
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Print Name Daytime phone number of Signatory
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Reviewer
Date '
ENGINEER'S REPORT ATTACHED: YES NO—V—_
CONDITIONS:
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11/1/2015 Page 2 oF2
CERTIFICATION THAT NOTICE OF THE
APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER
This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning
Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the
owner.
1 certify that notice of the application, �:b I T D U C)
[County application name and number]
was provided to the owner of record of Tax Map
[name(s) of the record owners of the parcel]
and Parcel Number
manner identified below:
by delivering a copy of the application in the
Hand delivering a copy of the application to
person; if the owner of record is an entity, identify the recipient of the record and then ecipieniss title or office for that entity]
on
Date
Mailing a copy of the application to
[Name of the record owner if the record owner is a person;
if the owner of record is an entity, identify the recipient of the record and the recipient's title or
office for that entity]
on Date to the following address:
[address; written notice mailed to the owner at the last known address of the owner as shown on
the current real estate tax assessment books or current real estate tax assessment records satisfies
this requirement].
Signature of Applicant
KG f -cn (Y v� n�,rY,
Print Applicant Name
ada-16
Date
2/22/2018
Payments
Your Payment
Was Submitted
Transaction ID: 682058696N674710Y
Transaction 02/22/2018 11:07
Time: AM
Total Paid: $28.00
We will receive notification of your online payment at the time that it is made and
we will credit your payment as of that day. However, you will not see the payment
on your account for approximately 48-72 hours due to the time that it takes to get
those funds into our bank account.
Item Amount
Website Payment $27.00
Item Number: 11107705
Type: Community Development
SP/ZMA
Notes: HO# 201800085
Transaction Fee $1.00
Total $28.00
https://www.albemarlecountytaxes.org/payments/default.aspx 1/1