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Home Occupation Information and Application Form
VMinor Approved by Date ASSESSOR'S USE ONLY
O Major Home Occupation Type
Name �� J ky 0 Code
DBA
Address of Proposed Occupation: 2-1 'G` wv ,r ar-
Telephone C�y�`� 1 �, Zone J (Note:in DRZ,MF zones only minor home occupations are
allowed;approval letter from homeowners assn required
Description of Home Occupation:
L,J)�-C-+-jen- JeC-c-nr-c-L�,h C�c n
Please use the boxes below or an attached sheet to provide the following:
1. Attach copy of plot plan if available.
Box A: Proposed Sign
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
must be provided.
FLOOR PLAN (_Basement _ ls`floor _2nd floor)
1. Floor area of dwelling
2. Floor area of home occupation
3. %of floor area devoted to home occupation >U
Box B: Floor Plan
RECEIVED
JUN 20 2017
9ot1TH WIMXM PW M NG DEPT.
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�new ation. ()W�e
Signature of Applicant I►C Date 1
PRINT Name of Ap icant t, ' ,
Signature of Owner iL Date
PRINT Name of Owner