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HOME OCCUPATION FORM
Minor ZEO Approval Date
pp � ASSESSORS USE ONLY:
Major PZC Approval Date Home Occupation Type
Expiration Date Code
Name (2V?./T/-114 6-5-r11,c,6
Address of proposed occupation: /6 G
Telephone 0 to q S'- 4$y."'s Zone
Description of Occupation:
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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 prbposed signage .
3. Use box B (or attach sketch) to draw the floor plan of the home
occupation area.
414*
Architectural elevations for any proposed additions or modifications�Q
must be provided. -�
B. FLOOR PLAN _Basement 1st Floor 2nd Floor)
Floor area of dwelling
Floor area of home occupation
% of floor area
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0 I have read the regulations regarding home occupations and intend to comply with said regulations. I
understand I must notify the Planning Department in writing upon termination of this occupation at this
address. /� r�
Signature of Applicant (��l!.,l.0 Date / D
Signature of Owner Date 7
White = Assessor Yellow = Applicant Pink = Street File