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Home Occupation Application

  1. Applicant Information
  2. I cerity that-
    I have read, understand and shall abide by all applicable criteria, standards and conditions found in Article XIII, Section 17 – Home Occupations of the City of Cocoa Code.
  3. State of _________________
  4. County of _______________
  5. Sworn to (or affirmed) and subscribed before me this ____ day of ___________, 20____, by: ______________________________ has produced ________________________.
  6. Notary Public Signature ____________________________
  7. Name of Notary (typed, printed or stamped) _______________________________
  8. FOR OFFICE USE ONLY
    Fee of $25.00 in cash__ or check#___ (payable to City of Cocoa Receipt Number___________ Date __________________
  9. Leave This Blank: