Fillable General Information (Clarke County Government)

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General Information (Clarke County Government)

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File type: PDF

U.S.A. forms for Clarke County Government

BROWSE CLARKE COUNTY GOVERNMENT (VA) FORMS

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General Information
Date:
Tax ID#:
Zoning District:
Lot Size:
Home Occupation Site Address:
Property Owner’s Name:
Property Owner’s Mailing Address:
Applicant’s Name:
Applicant’s Mailing Address:
Phone:
Email:
Proposed details and description
Describe the prosed home occupation in detail below and answer the following questions:
If a Bed & Breakfast, how many rooms are proposed (maximum of 5 guests)? _______________ N/A ______
If a Kennel, will the Kennel breed or board animals? Boarding __________ Breeding __________ N/A ______
If a Kennel, how many animals (over 6 months of age) will there be? ________________ N/A ______
What is the square footage of the dwelling? _________________________
(Note: home occupations are limited to 25% of dwelling area)
How much square footage of the dwelling will be used by the home occupation? _____________________________
How much square footage of other buildings will be used by the home occupation? __________________________
How many employees will there be? Resident Employees ___________ Non-Resident Employees ____________
Are there other home occupations on the property? Yes _____ No _____ If Yes, what? _____________________
Hours of Operation ______________________________
Is Signage proposed? Yes ______ No _______
Select all that apply:
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
District Name: ___________________________
Yes
No
Easement Holder Name: ___________________
Home Occupation Application
Home Occupation Application (continued)
Information Chart:
Type of Storage
RR District;
AOC/FOC Districts,
Two (2) Acres or Less
AOC/FOC Districts,
Greater than Two (2) Acres and Less
than Six (6) Acres
AOC/FOC Districts,
Six (6) Acres or More
Business Equipment
(equipment that is not a self-
propelled motorized vehicle)
Business Product
(merchandise produced by
the home occupation)
-- Use/storage shall be within a
totally enclosed structure
-- Shall be included in the
maximum 25% floor area
requirement
-- Use/storage shall be within a totally
enclosed structure
-- Shall be included in the maximum
25% floor area requirement
-- Use/storage shall be shielded from view*
-- Shall be included in the maximum 25% floor area
requirement if in an enclosed structure**
Licensed Business Vehicles
(motorized vehicles or utility
trailers requiring license
plates)
-- Maximum of one (1) motorized
vehicle
-- Maximum of one (1) utility
trailer less than 20’ in length
-- Shall NOT be included in the
maximum 25% floor area
requirement
-- Maximum of one (1) motorized
vehicle
-- Maximum of one (1) utility trailer
less than 20’ in length
-- Shall NOT be included in the
maximum 25% floor area requirement
-- Maximum of three (3) motorized vehicles
-- Maximum of three (3) utility trailers less than 20’
in length
-- Any combination of three (3) or more shall be
shielded from view*
-- Shall NOT be included in the maximum 25% floor
area requirement
Vehicular Business
Equipment (motorized
vehicles not requiring license
plates, e.g., bulldozers,
backhoes)
-- Not allowed
-- Maximum of one (1)
-- Shall be shielded from view*
-- Shall NOT be included in the
maximum 25% floor area requirement
-- Maximum of three (3)
-- Shall be shielded from view*
-- Shall NOT be included in the maximum 25% floor
area requirement
Commercial or Industrial-
classified Vehicles
(e.g., semi-trucks and trailers,
dump trucks, box trucks,
bucket trucks)
-- Not allowed
-- Maximum of one (1)
-- Maximum of one (1) industrial
trailer (20’ or more in length)
-- Shall be shielded from view*
-- Shall NOT be included in the
maximum 25% floor area requirement
-- Maximum of three (3) vehicles
-- Maximum of three (3) industrial trailers (20’ or
more in length)
-- Shall be shielded from view*
-- Shall NOT be included in the maximum 25% floor
area requirement
I have read, understand, and will fully comply with all the rules and regulations pertaining to Home Occupations
provided with this Home Occupation permit and with all other applicable regulations. I understand that any
discrepancies between proposed and actual after zoning approval are the applicant’s responsibility.
Applicant Signature
Date
Property Owner Signature
Date
Office Use:
Zoning Administrator
/
Date
/
GIS Acct No
/
Permit ID
Granted
Conditions:
Denied
Reason
$
One Time Fee
Paid
Yes
No
Check Number
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General Information (Clarke County Government)

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Completed 17 April 2021

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