Address

Phone

City and State

Fax

Describe the single business to be operated:

Total sq. ft. of floor area of the dwelling used for this business

Total sq. ft. of floor area of an accessory structure used for this business (i.e. garage, shed)

Total sq. ft. of floor area of an accessory structure not used for this business

Will the business employ any employees other than family members residing in the dwelling

Will there be any stockpiling of inventory of a substantial nature

Will there be any customer, client or patient traffic, whether vehicular or pedestrian

Will there be any pickup or deliveries to and from the premises

If so, approximately how many deliveries or pick ups per week

Will the business activity generate any solid waste in volume which is not normally associated with residential use in the neighborhood?

Yes No

Will there be any equipment or process that will create noise, vibration, glare, fumes, odors or electrical interference which is detectable in the neighborhood?

Yes No

Date

Name

Applicant (Resident of dwelling where business will be operating from)

Fees will be assessed and due when permit is completed

Total sq. ft. of floor area of the dwelling not used for this business

Yes No

Yes No

Yes No

Yes No

Yes No

Will there be any outside appearance of a business use (i.e. signs, parking, lights)

The business operations, if approved, must always comply with the use described in this application and on the permit. Any change of use must be submitted with the Township, reviewed for approval and issued a new zoning permit.

I hereby certify that the code administrator and/or code enforcement officer shall have the authority to enter areas at any reasonable hour to enforce the provisions of the code (s) applicable to such permit.

E Mail

Amity Township Home Business Permit Application