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EMBSHOFF• � fS r� adL 6,6 '�A6 P- Wr'-2. II��I'I'llllll'lllll \ 51 7 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 op , pj!sy