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HOME OCCUPATION FORM
0.4inor ZEO Approval Date 410,5 ASSESSOR'S USE ONLY:
Major PZC Approval Date Home Occupation Type
Expiration Date Code
Name
Address of proposed[occupation: J-4
Telephone Zone
Description of Occupation:.
I N
k -e. v-
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 (of attach sketch)to draw proposed signage .
3. Use box B (or attach sketch) to draw the floor plan of the home ,� `
occupation area. 't 7
*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
% of floor area
I have read the regulatio a ar ' home occupations and intend to comply with said regulations. I
• understand I must notify h Department in writing upon termination of this occ ation at this
address.
Signature of Applicant Cv Date
Signature of Owner Date (i
White = Assessor Yellow = Applicant Pink = Street File