HomeMy WebLinkAboutCusson Minor Home Occupation Home Occupation Information and Application Form
6 Minor Approved Date "cTa o ►3 ASSESSOR'S USE ONLY
$25 fee
Zoning F : $ g Home Occupation Type
o Major g_ �ob4$360 fee Munis Application# / Code
Applicant Name: A I GZ n Lus s 1 in,, Q f .
DBA: � )e,,o ��nd V 1 h \ S
Address of Proposed Occupationv 2-72-j I e�f`i nc,ft),, -n 4. C , LT
Telephone: a 6t� 7 2-9 91693 v Zone:
Property Owners Name: 'G a W S5b n Jr .
NOTE:In DRZ and MF zones only minor home occupations are allowed.Approval letter from homeowners association is required.
Description of Home Occupation:
Se ry e ce 3 r(or j- i
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 �p
FLOOR PLAN (_Basement _ 1st floor _2nd floor)
1. Floor area of dwelling IPN 4-C I /SVb
2. Floor area of home occupation .
3. %of floor area devoted to home occupation Q
Box B: FLOOR PLAN
RECEIVED
SQtJ7H 1MNDS4R PtAAtNING DEP7.
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 re ation,the permit holder must notify the Planning Department in writing to
transfer the permit to the new to ion.
Signature of Applicant Date
PRINT Name of Applicany 4h ec.a."
Signature of Owner — Date
PRINT Name of Owner 74 l ci/k Revised 9/12/17
PAYMENT SUMMARY RECEIPT
TOWN OF SOUTH WINDSOR
1540 SULLIVAN AVENUE
SOUTH WINDSOR CT 06074
DATE: 02/22/18 CUSTOMER#: 000000000
TIME: 15:58
CLERK: laurenlz
RECPT#: 20900244 PREV BAL:
TP/YR: MS/2018 AMT PAID: 25.00
BILL: ADJSTMNT:
EFF DT: 02/22/18 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: CUSSON ALAN JR
PAYMENT METH: CASH
PAYMENT REF:
r