Town of Kippens
HOME BASED BUSINESS APPLICATION
Permit No.: _____
Name of Applicant: ______________ Address: _______________
Telephone No.: _________________
Business Name: __________________________________________________________
Property Owner: ________________ Telephone No.: ___________
(If you do not own the dwelling, you must obtain a letter of permission from the property owner)
Application to operate a home based business occupation from a:
______ Single Detached ______ Duplex ______ Apartment ______ Other
Describe your Business: ____________________________________________________
________________________________________________________________________
Where will you perform your business or sell your product? ______________________________
What part of your dwelling will you use for your business? ______________________________
What equipment/material will you use for your business? ________________________________
Where will equipment/material be kept? _____________________________________________
Will you use your garage for your business? __________________________________________
How often will people be coming to your home for your business? Never ___________________
Number of visits per day ____
How many employees/people will be involved in your business? ____ Work on property? _____
How many off street parking places are available now? _________________________________
What type/size of vehicle may be involved in your business? _____________________________
What hours will your business be in operation? ________________________________________
I/We hereby make application under the provisions of the Town of Kippens Development Regulations to develop in accordance with the information submitted, which form a part of this application. I/We understand and acknowledge the conditions and limitations applying to the issuance of a development permit.
Signature: ________________________ Date: _____________________
2 Juniper Avenue, Kippens, NL, Canada A2N 3H8
T: 709-643-5281 * F: 709-643-9773 * E: kippens@nf.aibn.com * www.townofkippens.ca