VOIGTa
U
NUMBER OF PER%PESIIIVOLVED IN BUSINESS
LIST NAMES OFEMPLOYED "\0L
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE ( EXCLUDE GARAGE) `N ZU-) , .
LOCATION AND SQUARE FOOT
BUSINESS ACTIVITY IN HO
"BEDROOM - 125 S.F.")
DESCRIPTION OF
BUSYNESS OPERA
PAID $35.00 dZ 4, 76, S
OCT 191993
AND SUPPLIES BEING USED IN THE
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPArX*JON IS ALLOWED (CONDITIONS ATTACHED).
LICANT SIGNATURE DATE
IF APPLICANT.IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGE1
REQUIRED.
OWNER/AGENT SIGNATURE DATE
IMPORTANT: False or misleading information shall be grounds for denying
your Home Occupation; failure to comply with conditions listed on the
attached page shall be grounds for revocation of permit.
Build"n and afety D p rtment
APPROVED BY SZDATE 4-i" CONDITIONS ATTACHED _
DENIED BY DATE