SANTIAGO0
tITY OFLAQW,
71-1105 C6I141r198tede.
P.O. sox, I504-
KLe Qv1ntf,C8L9Z20:
(6191666 -etas
664-2246 PLANNING DIVI C 187 .
ad each condition listed on the reverside side of this -form to seO
the proposed activity can comply with the City's Home occupation
/
Regulations. $35.00 fee
l0 �
TYPE OR PRINT IN INK
APPLICANT'S NAME CaMRAD R. SANTIAGO PHONE (Gi-))5(o4-45(0
PROPERTY OWNER CONP AD C • oR e,0-14 SANT ARG o PHONE (.to)) G 104.4- (a c5
PROPERTY ADDRESS AUE N 1 DA NAU A'RRo
LA QLIN`rA CALI FORAIA d)2253
(City) (State) (tip)
Type of residence (Single, Multiple, mobile home, etc.) QgGL.E FAMII,`f
Type of business AP--, WTECTURE
Brief description of how the business will operate Abort cc,�U,pA-nn�y
�GPACf WILL t� I ISED TO 29'QVtJCr-- DRPwW 'Rb 1.1ANVLr-PA a saEr-I
AND TD N\Ay-e ANO RA6NE CALUG D5 QUI(2Ef7. At.L RF-cs A(Z-(
Mi✓ INGS WILL Ge Rr=TL D Eta wlt���
Number of persons involved in business n NE
• List names of persons employed N -/A
10 $39 00
Square footage of usable floor area in WYOFI.AQUNTA
house (exclude garage) 151 S :22. FT. Val�g tyoff y�
)by l
Location and square footage of area of I
business activity in home (example: $AFEN.
bedrooms; 125 square feet)
DEN,o�-Flea 140 sQ, FT
Description of machinery, equipment, and supplies µbeing used in the
business operation OFR-AFTING AND OFFICE SuPQt,rES 1 �R-�,wIN��
TRS I Y�l.f A FAX ANA<" N 1 hle� A FAX ANA<" N 1 R
I have read and understand and agree with the conditions by which a
home occupation is allowed (Conditions on reverse side).
"2st9I
APPLICANT SIGNA DAT
If Applicant 1s other than prLy owner, authorization of owner or agent
re '
red.
z.
DAtNER 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.
f f f IE -D APPROVED Initials d"' '/ Date
CONDITIONS A
DENIED Initials Date
LQHOMOCC.PRT