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2016-012 Home Occupation Permit & Original Application
1 ■n I.■ ® . • { , /,:,,,, 11)i,, ,,,,„ . , �/^ «�/ . . 2,) C.'''''''' 1 . ' ` .r , , 2 � ° / � _,,,, \ : q ƒ c & % 0 \ \% ` o L . o co 2 - ƒ k / § 0 22 4.1 CV C 2 2 £ C / a k \ CO S 4,-, ■ 6 « c @ a ■ 0 2 0 m 2 . 2 0 % \ � U @ o E 0 0 ■ 2 2 2 2 « 2 E 2 0 co ® 0 0 > @ in t o 0 0 @ 0 E ƒ e 7 2 3 $ 0 £ �, k E " D y o $ 0 ® 0 a)11. k 2 B co 7 ` ,� 2 ' 0 0 3 A 2 Zro 2 a c 2 k @ co co• E 2 T CD O k k 7 0 0 o Si § d E @ 0 o k k k k 0 k • 2. S 2 t § % k 4 © 3 ® ® "zI @ c U g o IL E 2 § § 3 - / Q _ 0 / U .Et =CI 0 CU CO V C V W ■ _ £ t 2 13 0 w aj b § © @ @ M co 2 O 2 % 2 3 - ( 0 u ta CD § t . 3 k k 0 / 0 c -0 • 2 C 0 C 0 c O -0 0 0 I ■ 0 z % a b £ R o 2 0 2 > @ q § 0_ 11 ® § % to m 0 g ƒ 0 a 7 0 0 ■ ■mji L.:' •' 1 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:Lo U1' C 1 t 2(( 1 `l 11 Phone# OS/r 276'12 2 3 Street Address: (3/S Pedes �¢v{ City®P// Zip‘53-0 02- Email:fenec / /14I/ elni Pursuant to MN Statute 270.072 Tax Clearance; Issuance of Licenses,the licensing 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: j 4,/,-, Business Name: 01eerlaaA Eh se5, ‘Z- Minnesota ZMinnesota Tax Identification Number: 3 7 1'go63 Federal Tax Identification Number: 4' — 411'�'Q 8 Personal Information(Name): COU/Se 1'Mai h 4, * Social Security Number: For application property: Street Address: '3 /S ` edCa'y7 7T i'e City © p/✓ Zip s v '2 Legal Description of the property: Zoning District: Is the property connected to the City water and sewer system? Yes No 1 (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:itn peR Describe the character of the existing surrounding property: Who is to be employed in proposed occupation? 41/A Will any person(s) be employed that does not live at the occupation address listed in this application? Yes X No In what part of the structure will the occupation be located? Basem Ft 2 How many customers will be served at one time? 2_ What are the intended days and hours of this occupation? Wee.y Pe41 What service will this occupation provide? Z04//c/ Is off street parking available? V Yes No If yes, describe location, capacity and type of surface: 071'4 bdC. fad r fy..5/04fre A2 Will there be a need for street parking? Yes ✓ No If yes, how much space will be needed? 3 Will the occupation require the use of an accessory building? Yes No If yes,please justify the need of an accessory building and describe the facility: Will the home occupation require or *nvolve any equipment not normally found in a dwelling unit? Yes 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? 6'11—/d/ h. 4 How much of an investmentntin the premise is required for this occupation? lie hire ✓G,v� 'wl Oh. , li& lir If an investment is required, does it include alteration? Interior Exterior If so, Please describe the required alteration: N/4 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? C/ Yes No If no,please explain: 5 Is there any additional information regarding this application that the City should be aware of concerning the occupation? 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:g �/T� 2o11 Signature of Applicant Please Check One: Fee shall be submitted with complete application. New: Special Home Occupation —Fee: $100 / (Ordinances 401.03 &401.15.M) /New: Permitted Home Occupation —Fee: $ 25 (Ordinance 401.15.M) Home Occupation Renewal (Annual) —Fee: $ 15 6