Address___________________________________ Tax Parcel ID# (TPIN)________________________
Applicant ____________________________________________________________________________________
Applicant Phone_____________________________ Applicant Email_____________________________
Owner_______________________________________________________________________________________
Owner Address________________________________________________________________________________
Owner Phone_______________________________ Owner Email________________________________
NOTES AND INSTRUCTIONS: Attach to this application a business plan, narrative, or other detailed work describing
the home occupation in detail. Home occupation permit applications must also include the hours of operation,
number of employees, and the number of employees directly related to the occupant(s) of the property. By signing
below, you certify that you are aware of the following:
(1) Your home occupation must be in full compliance with Smithfield Zoning Ordinance Article 2, Section U.
(2) Depending on the zoning district, some proposed home occupations are permissible only via a successful
application for a Special Use Permit (SUP), which must be reviewed by the Planning Commission (PC),
approved by the Town Council, and accompanied by a site plan (which must be approved by the PC).
(3) Depending on the zoning district, some proposed home occupations, if not permissible by right or SUP, are
prohibited.
(4) All new home occupations must acquire a business license from the Town Treasurer.
(5) All attachments to this application are true and inclusive of all details of the proposed operation(s) at the
property/properties in question.
_____________________________________________________________________________________________
Agent/Owner Signature Date
TOWN STAFF ONLY
Zoning District _________ Overlay District____________
Additional Permitting Needed and/or Obtained (if Applicable) ____________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
☐ Approved ☐ Denied
Conditions/Explanations/Notes_____________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Town Staff Signature (for John Settle, Community Development & Planning Director) Date
2020-06-04 Application Version