HomeMy WebLinkAboutHO201800161 Application 2018-04-10FOR OFFICE USF�'L)' HO {i
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Application for
Class A Home Occupation Clearance Jt
❑ Home Occu ation Class AClearance = S27.00
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 occu ation.
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Name of Business
Type or Business:
Tax map and pare
Contact Person (Who should we call/write conceming this project?): A
Address a f
City State �/r _ zip 22�132
Daytime Phone
E-mail WQ 'Lht✓� Akhth0l Act de% N�
Owner of Record Ain\/.��N�� I� _ �--A
Address if ��
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Daytime Phone - 41 q5 Fax #
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State V Zip ,m VPZ
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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: P
E rili t'K EACH BOX SO THAT IT IS CLEAR THAT YOU HAVE REAi
AND UNDERSTAND THE REQUIRE JENTS FOR THIS CLEARANCE
LOCATION & AREA
The home occupation shall be conducted entirely within the dwelling unit, provided that not more than twenty-five
(25) percent of the gross floor area of the dwelling unit shall be used for the home occupation and further provided
that the gross floor area used for the home occupation shall not exceed one thousand
(Section 5.2 (b) l)] five hundred (1500) square feet.
�TERIOR APPEARANCE
VVVVVV 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) l)]
yALES
6o 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
11i1/2015 Page 1 or2
0 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)]
PARKING
All vehicles used in a home occupation and all vehicles of customers,
[Section 5.2 (t)] clients or students shall be parked on -site.
J�rPERFORMANCE 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 cheIl7ICaiS that may cause the following?
NOISE YES NO
VIBRATION
GLARE
HEAT
AIR POLLUTION
WATER POLLUTION
RADIOACTIVITY
ELECTRICAL DISTURBANCE
NON -DOMESTIC WASTE DISCHARGED TO A SEPTIC FIELD OR SEWER
If YES, then applicable standards must be addressed with a Certified Engineer's Report (available from staff).
PROHIBITED USES
The following uses are expressly prohibited as home occupations: (1) tourist lod in schools; (4) day care centers; and (5) private schools. [Section 5.2 (h)] g g, (2) nursing homes; (3) nursery
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
hereby apply for approval to conduct the Home Occupation identified above, and certify that this address is my legal
residence. lso certif at I hav� re .>1ie restrictions on Home Occupations, by Althat I understand them, and that 1 will abide
by t l
Si nafurebfZ*ner/Applicant
Print Name
() 'i � i J
Reviewer
ENGINEER'S REPORT ATTACHED: YES NO
CONDITIONS:
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Date C7
540-17+1•+1et5
Daytime) phone number of Signatory
Date g17o[b
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