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HOME OCCUPATION FORM
Winor ZEO Approval Date �� ASSESSOR'S USE ONLY:
Major PZC Approval Date Home Occupation Type
Expiration Date Code
Name AnrS�l o e,- 4" R, 11VI//,a Address of proposed occupation: g016 r 1111,7G1.o,1 k, Q( _' IA ln/,'40��0f
Telephone ('F(0)610-0 yoo Zone - 2
Description of Occupation:
A. PROPOSED SIGN
Please use the boxes or an attached sheet to provide the following:
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.
94. Architectural elevations for any proposed additions or modifications
must be provided. �V
B. FLOOR PLAN (_Basement /lst Floor 2nd Floor)
-Floor area of dwelling s-f
Floor area of home occupation i 5 f
% of.floor area ?W
9
have read the regulations regarding home occupations and intend to comply with said regulations. I
derstand I must notify 4thPlaanningPepartment ' wri ' on termination of this occupation at this
address.
Signature of Applicant Date
Signature of Owner Date
White = Assessor Yellow = Applicant Pink = Street File