CERTIFICATE #: ZUP-_________
DATE SUBMITTED:_________
ZONING USE PERMIT
HOME BUSINESS
(Form continues on reverse side)
HOME BUSINESS INFORMATION AND DESCRIPTION
APPLICANT NAME:
TELEPHONE:
EMAIL:
FAX:
BUSINESS ADDRESS:
BUSINESS NAME:
TYPE OF BUSINESS:
BUSINESS DESCRIPTION
(Please provide sufficient
detail to describe business
operations to determine
compliance with Home
Occupation regulations):
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
What is the square
footage used for the
home occupation:
__________________________________________________________________
Please initial to acknowledge your proposed business will
meet the following Home Occupation Requirements:
Initial Below
City Council must approve the use with a Conditional Use Permit). Please consult with the Zoning
4) No signage, outside display/storage of business materials, or other exterior changes will occur
5) The proposed business does not involve the indoor storage of more than fifty (50) square feet
6) No equipment will be used which creates noise, vibration, glare, fumes, odors, or electrical
7) There will be no interruption, congestion or change to the character of the neighborhood in
8) Will any customers or clients visit the residence? Yes: No:
If yes, explain (time of day/frequency of visits/number of customers):
Rouss City Hall
15 North Cameron Street
Winchester, VA 22601
(540) 667-1815
TDD (540) 722-0782
APPLICANT SIGNATURE REQUIRED
I, the undersigned, certify that I will comply with Winchester City Code and Zoning Ordinance pertaining
to the operation of my business/home occupation and consistent with the use description provided
above. If the use expands or changes, I will consult with the Zoning Administrator to determine if
changes to my application are necessary.
Signature: Date:
FOR OFFICE USE ONLY
Date Received:
Zoning Administrator:
Date:
Approved:
Approved with Conditions:
Denied:
Condition(s) of Approval:
Building Official:
(If use is greater than 10%
of residential floor area)
Date:
Approved:
Approved with Conditions:
Denied:
Condition(s) of Approval:
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