HomeMy WebLinkAbout149 Brookfield Street (10) HOME OCCUPATION FORM
Minor ZEO Approval Date ZSON ASSESSOR'S USE ON
LY:
Major PZC Approval Date Home Occupation Type
Expiration Date Code
Name
5Uv? alp-,e�A r
Address ofro proposed occupation:PnP P ,
Telephone �b
� �' �I 12 z.lze
Description of Occupation: N
�rS +) r-\0 , <-(7v
�h F
no
Please use the boxes or an attached sheet to provide the following: A PROFOSID SIGN
1. Attach copy of plot plan if applicable.
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. Architectural elevations for any proposed additions or modifications
must be provided.
B. FLOOR PLAN (Basement 1st Floor _2nd Floor)
Floor area of dwelling4a=Wa
Floor area of home occu ation f o n �
of floor area f o
I have read the regulations regarding home occupations and intend to comply with said regulations. I
understand I must notify the Planning Department in writing upon termination of this occupation at this
address.
Signature of Applicant J Date a U '
Signature of Ownerf Date
White = Assessor Yell w = Applicant Pink = Street File