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2113 W. Walnut Street Rogers, AR 72756 (Benton County Government)

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Page 1 of 9
Home and Rural Family Occupations that meet all of the following criteria are allowed by right and exempt from review. Check all
the applicable criteria:
o Operate entirely within the dwelling or an accessory building with no more than twenty-five (25%) percent of the gross
floor area of the home and or any accessory building utilized in the day to day operations of the home based business.
o Home and Rural Family Occupations shall be operated and conducted primarily by the resident owner of the property.
o Phone order, fax and or internet sales or sale of items that is clearly incidental to the farm activities or residential use of
the site by the property owner.
o Any commercial activity that shall be incidental to residential or farm activities and shall not meet the threshold for site
plan review.
o Any use that does not require a building code or septic upgrades (i.e. from residential standards to commercial standards)
to accommodate the home and rural family occupation.
o The home and rural family occupation does not display merchandise or have outside storage of equipment or materials
visible from a public road or adjacent residence. If located outside the building such use shall be adequately setback and
appropriately screened from adjacent properties.
o The home and rural family occupation does not alter the external appearance of the dwelling unit or accessory structure
and maintains the rural residential character.
o The home and rural family occupation does not create noise, vibration, glare, fumes, electromagnetic interference, odors,
or air and water pollution or any environmental concerns outside the dwelling unit or accessory building on site.
o The home and rural family occupation does not involve the storage of hazardous materials, other than substances of a
type and quantity customarily associated with a home or hobby. Further, the use of buildings or structures for the home
occupation shall not involve the manufacturing, processing, generation or storage of materials that constitute a high fire,
explosion or health hazard as defined by the International Building Code.
o When located in a subdivision, the home occupation has no more than one non-illuminated business sign on the premises,
not more than two square feet in area. In rural areas with lot sizes of 1 acre or more, one non-illuminated sign of nine
square feet in area and six feet tall may be allowed.
o The home and rural family occupation shall not warrant delivery or parking needs that have the potential to adversely
affect traffic for adjacent and surrounding properties. Further, parking areas for residents, employees or customers and or
loading areas shall be located on site, adequately setback and appropriately screened from adjacent properties. In
subdivisions, parking of non-motorized vehicles, such as, boats, trailers, or flatbeds shall not be allowed unless adequately
screened.
See list of non-exempt home occupations including bed and breakfasts; kennels; towing services; auto wreckers; junkyards etc.
PLEASE NOTE: INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED
OWNER AFFIDAVIT - HOME AND RURAL FAMILY OCCUPATION
Any use conducted entirely within a dwelling or an accessory building which is clearly incidental and secondary to
the use of the dwelling and which does not change the residential character of the building and the surrounding area
is classified as a Home Occupation.
Benton County Development Department
Planning Division
2113 W. Walnut Street
Rogers, AR 72756
(479) 464-6166
http://www.bentoncountyar.gov
Date Stamp
BENTON COUNTY EXEMPT HOME AND RURAL FAMILY OCCUPATION APPLICATION FORM
Page 2 of 9
INSTRUCTIONS FOR APPLICANT:
Applications must be submitted in person. Please make an appointment with a planner to discuss the proposed
development and to determine if a complete application is submitted.
Please review Site Plan Review Regulations prior to application submission (Chapter 7). Planning Board Calendar
including meeting schedules (included with Application).
Item
Provided
(Yes/No)
Date
Provided
Staff
Initial
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
BENTON COUNTY EXEMPT HOME AND RURAL FAMILY OCCUPATION APPLICATION FORM
Page 3 of 9
REGISTERED OWNER AND APPLICANT INFORMATION
Provide in full the name of the registered owner, agent/ applicant (if different than the owner) contact details. If the
registered owner is a numbered company, provide the name of the principals of the company. If there is more than one
owner, copy this page, complete in full and submit with this application.
An authorized applicant and agent for the owner must attach a notarized letter of authorization from the legal property
owner. Written authorization from the legal property owner is required at the time of application or the documents will
not be accepted.
Property Owner
Name:
Address:
Phone:
Email:
Contact Person:
Postal Code:
Fax:
Applicant / Agent(If other than the Property Owner) Please complete Form A and or B, attached
Name:
Address:
Phone:
Email:
Contact Person:
Postal Code:
Fax:
NOTARIZED OWNER CERTIFICATION
I certify under penalty of the laws of the State of Arkansas that I am the property owner of the property that is the subject
matter of this application and I am authorizing to and hereby do consent to the filing of this application, acknowledge that the
final approval by Benton County, if any, may result in restrictions, limitations and construction obligations being imposed on
this real property and hereby authorize Benton County Staff to enter my property for the duration of the review.
I confirm that the information contained in this application and accompanying documents is accurate to the best of my
knowledge. I hereby acknowledge that it is my responsibility to ensure that I am in compliance with all applicable laws,
regulations, and permits at the State or Federal levels.
Owner/Authorized Agent Print Name: ____________________________________________________________
Owner/Authorized Agent Signature: ______________________ Date: __________________
State of Arkansas, County of ___________________
Subscribed and sworn to before me this ______day of ____________201__.
_______________________ _____________________________
NOTARY PUBLIC My Commission expires
BENTON COUNTY EXEMPT HOME AND RURAL FAMILY OCCUPATION APPLICATION FORM
Page 4 of 9
3. DESCRIPTION OF SUBJECT PROPERTY
a. Address:
(If none currently, contact 911 Administration)
b. Assessor’s Parcel Number (s):
c. Site Area (acres/ square feet):
d. Area of Development (acres/ square feet):
e. Existing Land Use:
f. Proposed Development & Use:
g. Parking/Loading Spaces
Existing
Proposed (New)
Total
# of Parking Spaces
Total Loading Spaces
h. Description of Screening/Buffer
Proposed Screening
Existing
Proposed
Fence (length and
location, material)
Landscape Buffer (length,
size, spacing, and
location)
Other - Describe
i. Building setbacks
Existing Buildings
Proposed buildings
Front setback
Side setback
Rear setback
j. Access to Subject Lands: Check all that apply
County Road, Name Highway, Name
Private easement, Describe
k. Water, Sanitary Sewage and Storm Drainage: Check all that apply
Water- Indicate the source of water on-site
Public/Semi Public Private/Semi Private well
BENTON COUNTY EXEMPT HOME AND RURAL FAMILY OCCUPATION APPLICATION FORM
Page 5 of 9
Sanitary- Indicate the type of sewage disposal facility: Check all that apply
Publicly owned and operated sanitary sewage system
Privately owned and operated individual septic system
Other
Have you received approval from Heath Department?
Yes No Approval awaited (Date)
Storm Drainage- Indicate how storm drainage will be provided on-site: (Chapter X, Appendix D)
Ditches Swales Retention pond
Detention pond Bio retention pond
Low Impact Development options (Appendix B) Other
4. I confirm that the information contained in this application and accompanying documents is accurate to the
best of my knowledge.
I hereby acknowledge that it is my responsibility to ensure that I am in compliance with all applicable laws,
regulations, and permits at the State or Federal levels.
Name and Signature of applicant Date
State of Arkansas
County of ___________________
Subscribed and sworn to before me this ______day of ____________201__.
_____________________________ _____________________________
NOTARY PUBLIC My Commission expires
BENTON COUNTY EXEMPT HOME AND RURAL FAMILY OCCUPATION APPLICATION FORM
Page 6 of 9
OFFICE USE ONLY
AUTHORIZATION TO PROCESS: This application has been received and accepted for processing
Name of Planning staff Date of Authorization to process
Item
Comment
1.
Name of Planning Jurisdiction
2.
Is the subject property located in a
Floodplain?
Yes
No
3.
Is the subject property located in County’s
MS4 area?
Yes
No
4.
Date the applicant attended DRC
5.
Service Agreement Forms (Form F)- Water,
Electricity, Septic maintenance,
Landscaping, Fire Protection, Solid Waste.
Others as applicable to specific projects.
6.
Site Visits
Application Fee: $ Receipt No.: Date:
Assigned File No.: Related Planning File No.:
Additional Notes
Page 7 of 9
FORM A - NOTARIZED AUTHORIZATION OF REGISTERED OWNER FOR THE APPLICANT (OTHER
THAN THE OWNER) TO SUBMIT THE APPLICATION
If the applicant is not the registered owner of the land that is subject of this application, the written
authorization of the registered owner that the applicant is authorized to make the application must be
included with this application form and the authorization below must be completed.
I (We), ,
(owner of the subject land, address or parcel No.)
hereby authorize and instruct
(applicant)
to submit an application to the Benton County Development Department. This shall be my (our) good and
sufficient authority to act on my (our) behalf and to negotiate or bond on my behalf.
(Sign) Date
Note: if the owner is a corporation, affix seal (if any)
FORM B - NOTARIZED AUTHORIZATION OF REGISTERED OWNER FOR THE AGENT (OTHER THAN
THE OWNER) TO SUBMIT THE APPLICATION AND BE THE ONLY POINT OF CONTACT WITH BENTON
COUNTY PLANNING DEPARTMENT
I (We), ,
(owner of the subject land, address or parcel No.)
hereby authorize and instruct
(agent)
to submit an application to the Benton County Development Department. This shall be my (our) good and
sufficient authority to act on my (our) behalf and to negotiate or bond on my behalf.
(Sign) Date
Note: if the owner is a corporation, affix seal (if any)
FORM C - PERMISSION TO ENTER THE SUBJECT PROPERTY
I hereby authorize the Planning Board and/or staff of Benton County, Arkansas to enter upon the
subject lands and premises for the purpose of evaluating the merits of this application and
subsequently to conduct any inspections and work on the subject lands that may be required as a
condition of approval. This is their authority for doing so.
Subject lands:
Signature of owner Date
State of Arkansas
County of ___________________
Subscribed and sworn to before me this ______day of ____________201__.
_____________________________ _____________________________
NOTARY PUBLIC My Commission expires
Page 8 of 9
FORM D – HAZARDOUS CHEMICAL COMPLIANCE FORM
BENTON COUNTY DEPARTMENT OF EMERGENCY MANAGEMENT AND
HOMELAND SECURITY
215 E. CENTRAL AVE #7, BENTONVILLE, AR 72712
Phone: 479-271-1004
Fax: 479-271-1084
BUSINESS NAME: ________________________________TYPE OF BUSINESS:________________
OWNER’S NAME:_________________________________________________
PHYSICAL LOCATION/ADDRESS:____________________________________________________
MAILING ADDRESS:_________________________________________________________
CONTACT PHONE NUMBER:_______________________________________________________
CONSULTANT/ENGINEER:_____________________________________________________
A LETTER WILL BE SENT TO THE BUSINESS OWNER AND THE PLANNING OFFICE.
IF THERE ARE OTHER LOCATIONS PLEASE SPECIFY:________________________________
_____________________________________________________________________________________
WILL THERE BE CHEMICALS STORED AT THIS FACILITY? YES_______ NO_______
IF YES – LIST NAME AND QUANTITIES BELOW:
_____________________________________ ______________________________________
____________________________________ ______________________________________
____________________________________ ______________________________________
BY SIGNING BELOW, I ACKNOWLEDGE THAT ALL INFORMATION ABOVE IS TRUE AND CORRECT. I
UNDERSTAND THAT IT IS MY RESPONSIBILITY TO NOTIFY THE BENTON COUNTY DEPARTMENT OF
EMERGENCY MANAGEMENT IF THIS INFORMATION CHANGES.
_________________________ __________________
OWNER SIGNATURE DATE
BENTON COUNTY DEPARTMENT OF EMERGENCY MANAGEMENT ONLY
LETTER COMPLETED BY____________________________ ________________
DEM OFFICER DATE
Page 9 of 9
F O R M F - Le t t e r o f S e r v i ce C o nf i r m a t i o n
Project Name:
Property Owner: Map/Parcel No.:
Project Address:
The Benton County Development Department has received an application to review a:
□ Site Plan Review □ Subdivision □ Other___________________________________
for the above mentioned property. In order to process this request, service coverage must be provided
to the property. Please indicate if the above property is or will be receiving services from your utility or
department. Should there be any conditions associated with the coverage to be extended to the above
mentioned property please included those conditions in the appropriate area below.
Department/Utility: ___________________________________________________________________
Type of Coverage: ________________________ ____________________________________________
Please note your comments or concerns below. If additional conditions or stipulations of coverage
extension are required please include those stipulations below. Attach additional pages if necessary. If
you have no comments, please indicate by checking the “no comment” box below:
Conditions/Stipulations: _______________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Other Comments: ____________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Thank you for your assistance,
Submit to:
Benton County Development Department
Planning Division
1204 SW 14
th
Street, Suite 6
Bentonville, AR 72712
Office: 479-464-6166
Fax: 479-464-6170
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2113 W. Walnut Street Rogers, AR 72756 (Benton County Government)

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Completed 5 August 2020

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