505 Third Street Hudson, WI 54016 (715)386-4776 www.hudsonwi.gov
03/2018 REV
Application for:
HOME OCCUPATION
CERTIFICATE OF COMPLIANCE ZONING USE PERMIT
(As per Municipal Code § 255-54)
Date
Applicant Name(s)
Mailing Address
Phone
Email
Property Location
(if different)
(street)
(other information)
Proposed use of property as home occupation:
I (We) have read the City of Hudson Municipal Code § 255-54 and am (are) requesting a permit.
Applicant Signature(s)
OFFICE USE ONLY
Approved / Denied
Approved / Denied by:
Referred to Plan Commission
Common Council
Approved / Denied
Date
(number)
CLEAR
PRINT
click to sign
signature
click to edit
click to sign
signature
click to edit
505 Third Street Hudson, WI 54016 (715)386-4776 www.hudsonwi.gov
03/2018 REV
Affidavit for:
HOME OCCUPATION
CERTIFICATE OF COMPLIANCE ZONING USE PERMIT
(As per Municipal Code § 255-54)
Date
Proposed Location Address
Adjacent Property Owner Name(s)
Adjacent Property Owner(s) Address
Concern(s) of adjacent property owner(s):
State NONE or sufficient detail; use additional pages if necessary.
Adjacent Property Owner Signature(s)
(number) (street)
505 Third Street Hudson, WI 54016 (715)386-4776 www.hudsonwi.gov
03/2018 REV
Affidavit for:
HOME OCCUPATION
CERTIFICATE OF COMPLIANCE ZONING USE PERMIT
(As per Municipal Code § 255-54)
Date
Proposed Location Address
Adjacent Property Owner Name(s)
Adjacent Property Owner(s) Address
Concern(s) of adjacent property owner(s):
State NONE or sufficient detail; use additional pages if necessary.
Adjacent Property Owner Signature(s)
(number) (street)
505 Third Street Hudson, WI 54016 (715)386-4776 www.hudsonwi.gov
03/2018 REV
Affidavit for:
HOME OCCUPATION
CERTIFICATE OF COMPLIANCE ZONING USE PERMIT
(As per Municipal Code § 255-54)
Date
Proposed Location Address
Adjacent Property Owner Name(s)
Adjacent Property Owner(s) Address
Concern(s) of adjacent property owner(s):
State NONE or sufficient detail; use additional pages if necessary.
Adjacent Property Owner Signature(s)
(number) (street)
505 Third Street Hudson, WI 54016 (715)386-4776 www.hudsonwi.gov
03/2018 REV
Affidavit for:
HOME OCCUPATION
CERTIFICATE OF COMPLIANCE ZONING USE PERMIT
(As per Municipal Code § 255-54)
Date
Proposed Location Address
Adjacent Property Owner Name(s)
Adjacent Property Owner(s) Address
Concern(s) of adjacent property owner(s):
State NONE or sufficient detail; use additional pages if necessary.
Adjacent Property Owner Signature(s)
(number) (street)
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