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HOME OCCUPATION FORM
•Minor !/ ZEO Approval Date ASSESSOR'S USE ONLY:
Major PZC Approval Date Home Occupation Pa Type
Expiration Date Code
Name O.s— O. P�
Address of proposed occupation: �C=1 ,r,+ ( I)a 1
Telephone Zone
Description of Occupation:
12
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.
B. FLOOR PLAN (Basement 1st floor 2nd Floor)
Floor area of dwelling
Floor area of home occupation and
% of floor area I p°76
�
e
b�r
WI have read the regulations regarding home occupations and intend to comply with said regulations. I
derstand I must notify the Planning Department in writing upon termination of this occupation at this
address.
Signature of Applicant Date l (a—)(oo
Signature of Owner Date ((;-1 �(fin
White = Assessor Yellow = Applicant Pink = Street File