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Home Occupation Information and Application Form
�y ASSESSOR'S USE ONLY
Minor Approved by Date 12
Kam. �-U v
❑ Major Home Occupation Type
Code
Name_.5LIbi P
Address of Proposed Occupation: '�" '7 C-t��V I l_k-_) .)
Telephone 9 6—7 `_-q8 T7 Zone (Note:in DRZ,MF zones only minor home occupations are
allowed;approval letter from homeowners assn required
Description of Home n Occupation: (� y-- C-tt NT �-t r��t ��3/YA PAS i��? e�A, - S°�..rt3T t1+A
N D <✓JJ�D�eT
Please use the boxes below or an attached sheet to provide the following:
A.Proposed Sign
1. Attach copy of plot plan if available.
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 JJ� C
must be provided.
• FLOOR PLAN (❑Basement ❑2°a floor
Floor area of dwelling spa �q
Floor area of home occupation y
%of floor area.devoted to home occupation ZS'
I have read the regulations regarding home occupations and will comply with said regulations.I understand that I must notify
the Planning Department in writing upon termination of this occupation at this address.This permit is not transferable or
assignable to another person.In the event of relocation,the permit holder must notify the Planning Department in writing to
transfer the permit to the ne location.
• Signature of Applicant Dated Zed
Signature of Owner
Date SV
Nf-
-GARDNER & PETERSON ASSOCIATES-57C OLD POST ROAD TOLLAND, C0iVNECrXU '060d4
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8 9. <0 c.
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I30` MORTGAGE SURVEY
4
es�.r
vQ, v� LOT 62 TIMBER RIDGE SECTION V
TOWN OF SOUTH WINDSOR
I SCALE: 1 " = 40'
-s c�Z I hereby certify to Savings Bank
91 of Rockville and Chicago Title
Insurance Co. that the location
of the building as shown is
substantially correct and that
there are no zoning violations of
h 9 9 the same.
\�J 0 C
D o July 1 , 1981 L.S. # 4395
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