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HOME OCCUPATION PERMIT
APPLICATION
CITY OF LA OUa
To-*$ Calls Itstaf
P.O. sox 1304
tOninh,CA. ft!
(619) 664-1246
664-2246v�Q PLANNING DIVISION 6/87
ad each condition listed on the reverside side of this form to see it
the proposed activity can comply with the City's Home occupation
Regulations. $35.00 fee
TYPE OR PRINT IN INK /
APPLICANT'S NAME e° A///e'��i.-+ h o PHONE
PROPERTY OWNER PHONE
PROPERTY ADDRESS i -,.y
/ / (Street)
.✓Tal el_l, /9
(City) (State) (Zip)
Type of residence (Sing/le, multiple, mobile home, etc.)
Type of business
Sri7ef_�escri�tion of how th�b/Jusi ss will c -ate'_ e
Number of persons involved in business
Li,Rt names of _persons employed
Squaie f!Wt- qe of ueaffre f loo ea in
house (exclude garage) d
Location and square footage of area of
business activity in home (example:
bedroo,ps; 125,,,sguare feed �^ r
vallaation Stamp
085182 10 8802 09-12-89 10
i0 CASH i TOTAL 1 35.00
R
Description of machineg, equi nt, and uppli s beins Ped in the
buss es ope tion
rt v o h
I have read and understand and agree with the conditions by which a
home occupation is allowed (Conditions on reverse side).
/PLICANT SIGNATURE DATE
If Applicant is other than property owner, authorisation of owner or agent
required.
OWNER OR AGENT SIGNATURE DATE
IMPORTANT: False or misleading information shall be grounds for denying
your Home Occupation, or failure to comply with conditions listed on
reverse shall be grounds for revocation of permit.
• • • • • •• • • • • • • •
PROVED '!� U _ Initials '-1 aZ ' Date
CONDITIONS ATTACHED
DENIED -Initials Date
LQHOMOCC.PR
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