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HOME OCCUPATION FORM 1
Minor ZEO Approval Date 1 I /s ASSESSOR'S USE ONLY:
Major PZC Approval Date Home Occupation Type
Expiration Date AIA Code
Name ra"J Q 1. C , CAS.ite,i I Tr .
Address of proposed occupation: 2,y l A Ll t-
Telephone ("y L4 - LI i G, Zone
Description of Occupation:
A`M S eD U
M05'T EnZTS n i-DFf.ED :S NEEDE D
A. PROPOSED SIGN
Please use the boxes or an attached sheet to provide the following:
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 ()< BAement 1st Floor 2nd Floor)
Floor area of dwellin c1 T T a I'P,,L.
Floor area of home occupation /AO T
19
of floor area X y e7v
04 Fouu AAA v
ST(iIRS
ro _
e StDt
AREA
i
5 A R5 i
115
HSeme g R0
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pua ATlo.l
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 Date 8 -2 2-95
Signature of Owner Date
White = Assessor Yellow = Applicant Pink = Street File