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HOME OCCUPATION FORM
Minor ZEO Approval Date 11.23)91 ASSESSOR'S USE ONLY:
Major PZC Approval Date az_ Home Occupation Type
Expiration Date Code
Name 4,c L ���{� _ JQS ' 6p. �'I G WQQ.
Address of proposed occupation: 7 C ar a/i eIJO 0 t
Telephone M-64q— 'l- Zone'
Description of Occupation:
N)Awock 1`Pcis11e"+INc Co ef-0WLO101N� �el� Ness p�cad�C'�S - SUC{�Ccs
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.
4. Architectural elevations for any proposed additions or modifications ( b7LSZ-
must be provided.
B. FLOOR PLAN Basement ✓ 1st Floor 2nd Floor)
Floor area of dwelling
Floor area of home occupation cov
% of floor area 1 ff°Io
CorlQhJ r�
S i/-1 kS
I have read the regulatio regar ' e occupations and intend to comply with said regulations. I
understand I must not the g De tment in writing upon termination of this occupation at this
address.
Signature of Applicant , i�e Date e
Signature of Owner Date
White = Assessor Yellow = Applicant Pink = Street File