3. City of Kingsburg Application for Home Occupation Permit
5. First Name
6. Last Name
8. Phone Number
9. Email Address
11. Address
13. City
14. State
15. Zip Code
17. Business Name/DBA
19. Type of Business Proposed for the Residence*
    Provide as much detail as possible, including if you are internet based and how your product is delivered.
21. Type of Vehicle Used
23. Where is Vehicle Stored
25. Number of Employees
26. Types & Number of Deliveries
28. Number of Customer Visits to the Residence Per Day
    See City Code 17.56.010 – B - 13
30. Description of Sign/Advertisement
    See City Code 17.56.010 – B - 12
32. Do you own or rent the property to be used for Home Occupation?
34. If renting, please provide documentation of permission from the homeowner.
    If this application does not meet Administrative Approval criteria it will proceed to the Planning Commission for a formal public hearing and approval.
36. Attached to this application you will find the Application for Business License (see 1401-B-17) and the Zoning Ordinance relating to Home Occupations.
38. Upon approval a Home Occupation permit will be issued with any additional terms and conditions.
40. The undersigned applicant understands and agrees to the conditions for a Home Occupation application.
42. Signature*

    The above information is correct to the best of my knowledge.

    1. I agree
43. Date
    Date
47. 17.56.010 Home Occupations
    17.56.010 Home Occupations (PDF)
Leave This Blank:


49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit

* indicates a required field