HomeMy WebLinkAboutApplication Florez MHO dba Sarema Market Home Occupation Information and Application Form
XMinor Approved _ Cl Date 31 ASSESSOR'S USE ONLY
$25 fee Zoning Fee: $
Home Occupation Type
$360 fee Munis Application# lY o t gw 3 !, Code
Applicant Name: We 4
DBA: r s a r i✓I
Address of Proposed Occupation: , ev. o G G,/ S u7Z
Telephone: 4 9 Z6) 12 9-73 6 Zone:�l e 4"A.
Property Owners Name: Prr�a.-r �(o� t-i
NOTE:In DRZ and MF zones only minor home occupations are allowed.Approval letter from homeowners association is required.
Descripttiioin,of Home Occupation:
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 a
dditionsor modifications
FLOOR PLAN Basement _ 0 floor oor) ,� S t 1
I. Floor area of dwelling 1,500 S f—
2. Floor area of home occupation 100 5
3. %of floor area devoted to home occupation—�==
Box B:FLOOR PLAN
r�i�'N tN1NE1
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 elocation,the permit holder must notify the Planning Department in writing to
transfer the permit to the new to tion.
Signature of Applicant Date J Z13/r I s
PRINT Name of Applicant P ✓1 a--c
Signature of Owner Date I Z la 1�/)
PRINT Name of Owner Revised 9/12/17
PAYMENT SUMMARY RECEIPT
TOWN OF SOUTH WINDSOR
1540 SULLIVAN AVENUE
SOUTH WINDSOR CT 06074
DATE: 01/02/19 CUSTOMER#: 000705520
TIME: 11:09 FLOREZ HERNAN & VALERIA
CLERK: laurenlz
RECPT#: 20904475 PREV BAL:
TP/YR: MS/2019 AMT PAID: 25.00
BILL: ADJSTMNT:
EFF DT: 01/02/19 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: FLOREZ HERNAN & VALE
PAYMENT METH: CASH
PAYMENT REF: