HomeMy WebLinkAboutMinor Home Occupation (33) DOME OCCUPATION FORM
Minor / ZEO Approval Date a O� ASSESSOR'S USE ONLY:
7f
4W I ajor PZC Approval Dace Home Occupation'Type
Expiration Date' Code
� 1
Name 1
Address of proposed occupation: G-�- d6®9
Telephone —
Zone
Description of Occupation:
�C/ Sev uu, y i/ '
Please use the boxes or an attached sheet to provide the following: A. PROPOSED SIGN
1. Attach copy of plot plan if applicable.
2. Use box A (or attach sketch)to draw proposed signage .
3. Use box B (or attach sketch) to draw the floor plan of the home
occupation area.
4. Architectural elevations for any proposed additions or modifications
must be provided.
FLOOR PLAN ( Basement 1st Floor 2nd Floor
Floor area of dwelling
Floor area of home occupation
of floor area
I have read the regulations regarding home occupations and intend to comply with said regulations. I
rstand.I must notify the Planning Department in writing upon termination of this occupation at this
ess.
Signature of Applicant Date
Signature of Owner ' Date
White = Assessor Yellow = Applicant Pink = Street File