Rev. 4-2017
Norfolk Planning and Zoning Department
309 N 5
th
Street Norfolk, NE 68701
402-844-2280
www.ci.norfolk.ne.us
CITY OF NORFOLK
HOME OCCUPATION REGISTRATION FORM
Please review the Home Occupation Regulations prior to completing this form. If you have questions,
please call the Planning and Zoning Department at (402) 844-2280.
DATE _________________ NAME
STREET ADDRESS _____________________________ PHONE
MAILING ADDRESS
CITY/STATE/ZIP CODE
NAME OF BUSINESS
NATURE OF HOME OCCUPATION (give brief description)
DATE HOME OCCUPATION BEGAN
SQUARE FEET OF HOUSE
SQUARE FEET USED FOR HOME OCCUPATION
IS A SIGN POSTED FOR HOME OCCUPATION?
(If yes, state size of sign)
DO YOU EMPLOY A NON-RESIDENT EMPLOYEE?
(If yes, attach a certificate as per Section 27-289(C)(8) of the Zoning Regulations of the City of
Norfolk.)
SIGNATURE
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OFFICIAL USE ONLY
DATE RECEIVED _______________________ APPROVED BY ______________________________
INSPECTION REQUIRED ________________ DATE INSPECTED____________________________
