Fill - Free fillable Planning Commission Approval For Home Occupations Application (City of Gulfport Mississippi) PDF form

Revision date 12/19/19

Page 1 of 6

If the property or properties listed above have more than one owner, please check this box. In the case

of multiple owners, reverse side must be completed. Each additional owner will need to complete

and sign the reverse side of this application. We can only accept applications with original signatures.

SECTIONS A. THROUGH G. MUST BE SUBMITTED FOR A COMPLETE APPLICATION.

CITY OF GULFPORT

Urban Development - Planning Division

1410 24th Avenue

Gulfport, MS 39501

(228) 868-5710

APPLICATION FOR

PLANNING COMMISSION APPROVAL

FOR A HOME OCCUPATION

GENERAL DESCRIPTION OF REQUEST:

_____________________________________________________________________________________________________

___________________________________________________

OWNERSHIP AND CERTIFICATION:

I hereby certify that I have read and understand this application and that all information and attachments are true

and correct. I also certify that I agree to comply with all applicable city codes, ordinances and state laws.

Finally, I certify that I am the owner of the property involved in this request or have authorization to act as the

owner’s agent for the herein described request.

OWNER

____________________________________

Printed Name of Owner

____________________________________

Mailing Address

____________________________________

City State Zip code

____________________________________

Home Phone Work/Cell Phone

____________________________________

Email

__________________________________________________

Signature of Owner

AGENT

____________________________________

Printed Name of Agent

____________________________________

Mailing Address

____________________________________

City State Zip code

____________________________________

Home Phone Work/Cell Phone

____________________________________

Email

__________________________________________________

Signature of Agent

For Staff Use Only

Case Number:_________________

Date Received:________________

Receipt Number:_______________

Received By:__________________

Zoning: ______________________

Ward: ________Flood:__________

Size:_________________________

Property Information

TAX PARCEL #

(If necessary, use separate sheet of paper)

Address of Property Involved:_______________________________________________________________

Lot(s)______________, Block(s)_______________, Subdivision___________________________________

General Location:_________________________________________________________________________

Revision date 12/19/19

Page 2 of 6

This page must be completed if the property or properties involved have more than one owner. All

persons listed as owners to the property or properties listed on page one must complete and sign this part

of the application.

I hereby certify that I have read and understand this application and that all information and attachments

are true and correct. I also certify that I agree to comply with all applicable city codes, ordinances and

state laws. Finally, I certify that I am the owner of the property involved in this request or authorized to

act as the owner’s agent for herein described request.

NAME OF OWNER (PRINT)

ADDRESS (STREET, CITY, STATE, ZIP CODE)

PHONE # (H) (W)

TAX PARCEL NUMBER(S) OWNED

SIGNATURE:

NAME OF OWNER (PRINT)

ADDRESS (STREET, CITY, STATE, ZIP CODE)

PHONE # (H) (W)

TAX PARCEL NUMBER(S) OWNED

SIGNATURE:

NAME OF OWNER (PRINT)

ADDRESS (STREET, CITY, STATE, ZIP CODE)

PHONE # (H) (W)

TAX PARCEL NUMBER(S) OWNED

SIGNATURE:

(Use additional forms as needed)

IN CASES OF MULTIPLE APPLICANTS, PLEASE IDENTIFY THE PERSON WHO WILL BE ACTING AS YOUR SPOKES

PERSON/AGENT FOR YOU

Revision date 12/19/19

Page 3 of 6

IMPORTANT NOTICE

1. Please be advised that failure to submit a complete

application, with all supporting documents, could delay

your hearing date. The Planning Commission will not

consider a request until all information is submitted and

accurate.

2. Please be advised that the application deadline dates

posted are designed to allow the staff time to review the

application and receive required comments from

coordinating agencies. The application is not considered

complete until all required information from the

applicant is available for review by the staff and

coordinating agencies.

3. Please see reverse of this sheet to determine the

deadline dates for filing your application.

C. Proof of ownership (Copy of deed or affidavit)

D. If applicable, notarized proof of authority to act as

agent for owner (board resolution, etc.)

E. The City of Gulfport Planning Division Staff will

notify, by letter, property owners adjacent to the

requested action identified in this application using

the Land Roll database from the County Tax Office.

If you would like to have additional persons or

property owners notified, please provide a list of

additional persons to be notified.

F. Your supplemental application must address

the following issues in a written statement:

Explain how the site plan is appropriate with

regard to:

 Transportation and access

 Water supply

 Waste disposal

 Fire and Police protection

 Other public facilities

 Why the proposal will not cause undue

traffic congestion or create a traffic hazard.

 Why the proposal is in harmony with the

orderly and appropriate development of the

district in which the use is located.

G. Complete the Home Occupation Checklist

(See pages 5 & 6 attached)

 If the property in which the Home

Occupation is to be conducted is rented, a

notarized letter from the property owner

must be provided giving applicant

permission to operate such Home Occupation

on the premises.

H. Cash or check payable to the City of Gulfport in

the amount of $75.00.

SUBMISSION REQUIREMENTS

A. Page one of this application, completed and signed.

B. Site plan. Please note that approval of your request,

in part, is based on your site plan.

 The property lines and dimensions have been

provided on the drawing.

 All buildings and structures located on the

property have been identified.

 All dimensions of buildings and structures have

been noted on the site plan.

 All distances from the property lines to all the

buildings and structures have been identified and

noted on the site plan.

 Street names have been provided which abut the

property.

 Traffic flow, parking and driveways have been

identified.

 Required buffer strips have been identified.

 Site plan will be no larger than 11” x 17”.

 Other pertinent information has been included.

Revision date 12/19/19

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Revision date 12/19/19

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CHECKLIST FOR HOME OCCUPATIONS

Owner’s Name: _______________________________________________________________

Address: _____________________________________________________________________

Phone: (Home)___________________________ (Work/Cell)___________________________

If rented, then the name of owner or manager is required, along with a letter of approval from

same: ________________________________________________________________________

Name of business or service to be used as home occupation: _____________________________

Nature of business: ______________________________________________________________

______________________________________________________________________________

Please fill in all the appropriate blanks:

Hours of operation: 8:00 a.m. until 5:00 p.m. __________

Earlier than 8:00 a.m. __________

Give hours: ____________

Later than 5:00 p.m.: ___________

Give hours: ____________

Method of conducting business:

Telephone: ___________

Mail order: ___________

Personal computer: ___________

Appointment: ___________

Traffic generation:

Is there any delivery of goods or products to the residence? __________

If so, specify the number and frequency of deliveries: _______________

Revision date 12/19/19

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Describe size of vehicle making deliveries: ____________________________________

Is service by appointment only or are there drop-by visits by customers or clientele? ____

________________________________________________________________________

Specify number and frequency of visits by clients and customers: ___________________

Is everything made, manufactured, or provided on site? ___________________________

Is special equipment required in production? ___________________________________

If so, described it, giving size of motor, etc. ____________________________________

Are sales made from the premises? ___________________________________________

If sales are made from other places, indicate on what basis:

Local stores on consignment: _________________________________________

Arts and crafts or flea markets: ________________________________________

Trade shows: ______________________________________________________

Other: ____________________________________________________________

Is there a Protective Covenant that exists that prohibits a home occupation at the

proposed located?

Yes _______ No ______

I certify the above to be true and accurate as it pertains to this application. I recognize that failure

to comply with the assurances made in this application may result in the denial or removal of the

permit after due notice and public hearing thereon.

Printed Name:

Signature:

Date:

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