HomeMy WebLinkAboutApplication Stanley MHO dba JS Paving Home Occupation Information and Application Form i c c>v,q,N
�Minor Approved Date )� ASSESSOR'S USE ONLY
$25 fee
o Major Zoning Fe . S Home Occupation Type
$360 fee Munis Application# ci �(`1�7 Code
Applicant Name: _ G c ` G C'
DBA: _�15 J el
Address of Proposed Occupation: �r f <_�O ,�L I -
Telephone: !g(oU C� Zone:
Property Owners Name: Sr..,e
NOTE:In DRZ and MF zones only minor home occupations are allowed.Approval letter from homeowners association is required.
Description ofHome Occupation:
l� G�y�YE.:-'1'�\N h ! `V•vvQ n`T'C�C'e '�V� \l..cy �]t�Sf Vf/�j'S
Y1 O e- 0 d
Please use the boxes below or an attached sheet to provide the following:
1. Attach copy of plot plan if available
Bog 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
FLOOR PLAN (___Basement _ 1'floor _2m floor)
1. Floor area of dwelling 3`/O J
2. Floor area of home occupation f
3. %of floor area devoted to home occupation .t7\°1
Bog 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 -t Date
PRINT Name of Applic �c,c- y
Signature of Owner-���f,� �. Date
PRINT Name of Owner 'A Revised 9/12/17
PERMITS/INSP PAYMENT RECPT#: 20905530
TOWN OF SOUTH WINDSOR
1540 SULLIVAN AVENUE
SOUTH WINDSOR CT 06074
DATE: 04/05/19 TIME: 14:39
CLERK: laurenlza DEPT:
CUSTOMER#: 717816
STANELY JACOB
PARCEL:
CHG: PZ PLANNING AND ZO 25.00
AMOUNT PAID: 25.00
PAID BY: STANELY JACOB
PAYMENT METH: CASH
REFERENCE: 911 FOSTER S
AMT TENDERED: 25.00
AMT APPLIED: 25.00
CHANGE: .00