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HOME OCCUPATION FORM u -/ '
Minor Approval Date 10'L5, p
ASSESSORS USE ONLY:
elajor PZC Approval Date Home Occupation Type
Expiration Date Code
Name `
C
Address of proposed occupation: �, �-
Telephone /V$=p/ S' Zone
Description of Occupation:
a. ,' m Pn
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1"te --Ae
e
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 . nv�
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 V 1st Floor
2nd floor)
Floor area of dwelling
Floor area of home occupation -5 .
of floor area / �'
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to"// De: /JSC�CI�
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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._ y�,�J1 p C/ //�,��� -�a�� Date
White = Assessor Yellow - Applicant Pink = Street File