City of Jordan Home Occupation Worksheet Last Updated 8/28/2020 Page 1
HOME OCCUPATION WORKSHEET
CITY OF JORDAN
210 EAST FIRST STREET
JORDAN, MN 55352
952-492-2535
Site Information
Site Address: _________________________________________________________________________________
Legal Description: _____________________________________________________________________________
Applicant / Contractor Information
Name: ______________________________________________ Phone: __________________________________
Address: ______________________________________________ Email: _________________________________
Owner Information ([ ] Check if same as above)
Name: ________________________________________________ Phone: ________________________________
Address: ______________________________________________ Email: _________________________________
I/We, the undersigned, hereby make the following application to the City Council and Planning Commission of the City of Jordan,
Scott County, Minnesota. (Applicants have the responsibility of checking all applicable ordinances pertaining to their application
and complying with all ordinance requirements):
1. Explain the type of occupation you wish to conduct in the home: ____________________________________
_____________________________________________________________________________________________
2. Describe the equipment that is required of the occupation: ________________________________________
_____________________________________________________________________________________________
3. Will the occupation be conducted entirely within the house? Yes / No
If no, list any additional structures required and their purpose: _____________________________________
__________________________________________________________________________________________
(Note: Storage is the only occupation-related use which may be permitted in a structure besides the house)
4. Gross floor area of the home: __________ square feet
5. Total square footage required for the occupation: ____________
City of Jordan Home Occupation Worksheet Last Updated 8/28/2020 Page 2
(Note: A maximum of 25% of the gross floor area of the home may be used for the home occupation)
6. Do you intend to employ persons other than those whom reside on the premise? Yes / No
If yes, Number of full-time employees: __________ Number of part-time employees: __________
7. Does the occupation involve children (not yours) or pupils at the residence? Yes / No
If yes, how many children/pupils are anticipated to be at the home at one time? ____________
8. Will the occupation result in an increase in neighborhood traffic? Yes / No
If yes, please explain: ________________________________________________________________________
Will vehicles be parked on-street or off-street? (circle one) How many vehicles are anticipated per day?
________
9. What are the anticipated hours of operation? ___________________________________________________
10. Do you intend to attach a sign to the home to identify the occupation? Yes / No
(Note: If yes, the sign must comply with Chapter 154 Zoning Ordinance Section 154.240 - Signs)
Attached to this application and made a part thereof are other material submission data requirements, as
indicated.
I certify that all information submitted is true and correct.
Applicant Signature: ______________________________________ Date: _____________________
Owners’ Signature(s):_______________________________________ Date: _____________________
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