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HOME OCCUPATION FORM
M .tor ZFO Approval Date la )S 6) ASSESSOR'S USE ONLY:
i
Cor PZC Approval Date Home Occupation Type
Expiration Date Code
Name Al
..
Address of proposed occupa on.
Telephone Zone /Z_ - �4
Descri tioa of Occupation:
)j22 n ULt�
C F5
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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 sigaage .
3. Use box B (or attach sketch) to draw tht. floor plan of the home
occupation area.
4. Architectural elevations for any proposed additions or modifications
0must be provided
B. FL,OOR PLAN Basement` �. t Floor 2nd Floor)
roor area of dwelling_ X
Floor area of home occupation
% of floor area
{i
I
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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 Tannin De artmr nt in writing upon termination of this occupation at this
tess. 1
Signature of Applicant _ Date
Signature of Owner -t' (� Date 6
White = Assessor Yellow Ap 'cant Pink = Street File