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HomeMy WebLinkAboutJeram Minor Home Occupation Home Occupation Information and Application Form Minor Approved AV Date Ja-S 00) ASSESSOR'S USE ONLY $25 fee , Zoning Fee: d Home Occupation Type o Major $360 fee Munis Application# © (ryj Code Applicant Name: Ke✓'n J(._'rC4M DBA: Bird G c�� , Address of Proposed Occupation: 3 S g( , i+.tC S��, W,,1 c i Q6-7Y Telephone: Zone: Property Owners Name: k���n , b 4h���(�, J'QLvL„Y, NOTE:In DRZ and MF zones only minor home occupations are allowed.Approval letter from homeowners association is required. Description of Home Occupation: Do a w a 1(_11 G / 0 S,A, ��s•� 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. Provide Architectural Elevations for any proposed additions or modifications REGEIV E FLOOR PLAN (_Basement _ l"floor —2 floor) 1. Floor area of dwelling ti L-90 pEc p 51W 2. Floor area of home occupation 50 �pIyNINGpFP'�• 3. %of floor area devoted to home occupation :t'_31- �1Na Box B: FLOOR PLAN 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 location. Signature of Applicant Date t 1 Sal 1 7 PRINT Name of Applicant Signature of Owner Date PRINT Name of Owner Revised 9/12/17 PAYMENT SUMMARY RECEIPT TOWN OF SOUTH WINDSOR 1540 SULLIVAN AVENUE SOUTH WINDSOR CT 06074 DATE: 12/06/17 CUSTOMER#: 000608569 TIME: 11:38 JERAM KEVIN & DANIELLE CLERK: laurenlz RECPT#: 20899408 PREV BAL: TP/YR: MS/2018 AMT PAID: 25.00 BILL: ADJSTMNT: EFF DT: 12/06/17 BAL DUE: PERMITS/INSP PAYMENT -----------------TOTALS----------------- PRINCIPAL PAID: 25.00 INTEREST PAID: .00 ADJUSTMENTS: .00 DISC TAKEN: .00 AMT TENDERED: 25.00 AMT APPLIED: 25.00 CHANGE: .00 PAID BY: JERAM KEVIN & DANIEL PAYMENT METH: CASH PAYMENT REF: