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City of Oak Park Heights
14168 Oak Park Blvd.
Box 2007
Oak Park Heights, MN 55082
Phone (651) 439-4439 —Fax (651) 439-0574
www.cityofoakparkheights.com
HOME OCCUPATION PERMIT APPLICATION
Applicant: ? n Qml�n �d ioh Phone# 1(.03—c3-10-1- W'tit
Street Address: I c3 � 5* . AA
City OM- V31/1� s Zip IOB Email: ,?(�fYlay0.11 nuns l' `N&31170.
Pursuant to MN Statute 270.072 Tax Clearance; Issuance of Licenses,the licensing 001
authority is required to provide the Minnesota Commissioner of Revenue your Minnesota
business tax identification number and social security number of each license applicant.
Please provide the following information as it applies to your home occupation:
Business Name: �r\fl 1C 'U k c\f LLC,
Minnesota Tax Identification Nu n yo 4(1
Federal Tax Identification Number: ?)1- I 944rj3
Personal Information(Name ten lami v ,cc, tQ 01r)
Social Security Number: 4 - 3I61-1
For application property: /]
Street Address: 0Xk . N ,
City Gc,4- RaYv- Nckvs . Zip -c?--
Legal Description of the property:
GiS l
Mt- t( W b eta-)
Zoning District:
Is the property connected to the City water and sewer system? x Yes No
(If additional space is needed to adequately answer the following,please accurately
number and answer the responses on the back of these sheets.)
Describe the home occupation(type of home business)being proposed:
'n r Cl hconc . Ira hb1Y'Li tom'C( a'it {
UCH CS arf 6W(s .
Describe the character of the existing surrounding property:
-Wfuire are C v \-tuurif)cYrtg3
we are tuAcad c_tottrick VIAL. d
we_. art r k 1 low -{ ,e Church
Who is to be employed in proposed occupation?
Ffniamin JetheIce katnan opl
Will any person(s)be employed that does not live at the occupation address listed in this
application? K Yes No
In what part of the structure will the occupation be located?
-V Mai n 1,0 VPi Ci/ni n9 ra 7? .
2
How many customers will be served at one time?
What are the intended days and hours of this occupation?
, ` 1 . `lam M
What service will this occupation provide?
eC,L■ n nr c r c - . --1 P v 5r 1- Jeers
Is off street parking available? )( Yes No
If yes,describe location,capacity and type of surface:
Car Spry- In ar i tie kvij
Will there be a need for street parking? Yes K No
If yes,how much space will be needed?
3
Will the occupation require the use of an accessory building? Yes k No
If yes,please justify the need of an accessory building and describe the facility:
Will the home occupation require or involve any equipment not normally found in a
dwelling unit? Yes X No
If yes,please describe the equipment:
Will the occupation involve over-the-counter sale of merchandise produced off the
premises? Yes - No
If yes,please describe the merchandise to be sold:
How long do you anticipate the occupation be carried on at this address? he-t
Ltii6-1... 1 Le-c .
so asd9,
uutoodi
4
How much of an investment in the premise is required for this occupation?
r DANA
If an investment is required,does it include alteration? Interior V\./ Exterior
If so, Please describe the required alteration:
Are other governmental licenses or permits required to legally conduct business in this
occupation? Yes No
If yes,please list the licenses and/or permits below:
The City reserves the right upon issuing any home occupation permit to inspect the
premises in which the occupation is being conducted to insure compliance with the
provisions of Zoning Ordinance 401.15.M"Home Occupations."
May the City inspect the premise during the application process? X Yes No
If no, please explain:
5
Is there any additional information regarding this application that the City should be
aware of concernin: the occupation?
It 5 ..Q_• t a . ' t 11..... r' I • • mgt
C.Ib.&I _1 I •I ILr: .o t. , 4 I.
t r) 0.33k5) `k 11 11(u ).e LOc SO
V1 -\-rr� : ,c. ( t yN, k c5
By signing this application,I declare that I have read all applicable City Ordinances. I
affirm that all information provided to the City of Oak Park Heights on this application,
or as a part thereof, is true and accurate to the best of my knowledge.
Date: ( D ° ow i 5
so°
/ Signat ?,01 plicant
Please Check One: Fee shall be submitted with complete application.
New: Special Home Occupation —Fee: $100
(Ordinances 401,03 &401.15.M)
X New: Permitted Home Occupation —Fee: $25
(Ordinance 401.15.M)
Home Occupation Renewal(Annual) —Fee: $ 15
6