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Application SW Warriors Cricket Club MHO
Home Occupation Information and Application Form /minor A roved pp Date ,s al ASSESSOR'S USE ONLY $25 fee ,� . Zoning Fee: $ c...... `a , Home Occupation Type o Major $360 fee Munis Application# d Code Applicant Name: fZ 1 i y A 3A eAtA--G i -0 6ss 6 DBA: co 0 c 1-1 t` 1 N 1) S'o& (oh R R l©RS Q 121 C K,e�f C L U Address of Proposed Occupation: $ ' H tCA 6 k l p C. F (U O Telephone: L, go t Zone: a Go Property Owners Name: A C ( L. { NOTE:In DRZ and MF zones only minor home occupations are allowed.Approval letter from homeowners association is required. Description of Home Occupation: C_L ( 0F'F l c 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 nd W � FLOOR PLAN (_Basement _ 1st floor _2 floor) ' f 1 rt 1. Floor area of dwelling 2. Floor area of home occupation 3 DS��PICtPdGD �'� 3. %of floor area devoted to home occupation 0 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 C '5S G (` 'c Date -3 1 2-f PRINT Name of Applicant Signature of Owner if S C— ;�. sc Date 21 PRINT Name of Owner CG. S Revised 9/12117 PAYMENT SUMMARY RECEIPT TOWN OF SOUTH WINDSOR 1540 SULLIVAN AVENUE SOUTH WINDSOR CT 06074 DATE: 03/21/18 CUSTOMER#: 000593746 TIME: 15:59 CHALIKONDA SRINIVASA & CLERK: laurenlz RECPT#: 20900531 PREV BAL: TP/YR: MS/2018 AMT PAID: 25.00 BILL: ADJSTMNT: EFF DT: 03/19/18 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: CHALIKONDA SRINIVASA PAYMENT METH: CASH PAYMENT REF: