WRIGHT111111 (IIII IIII IIII 7CITY of �Ao�n\NTI
HOME OCCUPATION PERMIT
APPLICATION
74-105 Celli talefe
P.O. sox 1506
Le oulnre,CA. 92253
�(4)f) W-1146
664-2246 PLANNING DIVISIOQNW�5/ 6/87
head each condition listed on the reverside s this corm to see f
the proposed activity can comply with the City's Home occupation
Regulations. $35.00 fee
TYPE OR PRINT IN INK
APPLICANT'S NAME
PROPERTY OWNER
PROPERTY ADDRESS
treet
PHONE -S'6 4-1— 3
PHONE
• List names of persons employed 1f�AJAY (a. Vt)12/ i 1 tk-�fL)
Square footage of usable HCl area in
house (exclude garage) Validation Stamp
Location and square footage of area of
business activity in home (example: 00518' .i.0 1886 11-i5-88 i0
bedrooms; 125 square feet) SO S.0 CASH i TOTAL. 1 3'5.00
Description of machinery, equipment, and supplies being used in the
business operation AI/o Tr},,�; l>//ok: Al�c� Oi�G[ rYiptf.C.7'cyt_ .r
I have read and understand and agree with the conditions by which a
home occupation is allowed (Conditions on reverse side).
11 1 s n,
APP IC T IGNATURE DATt
If Applicant is other than property owner, authorization 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.
• •
V' -'APPROVED
'-'AP• • • • • • • • • • • •
PROVED \�Cfi� Initials fsc�� Date
CONDITIONS ATTACHED
DENIED initials Date
LQHOMOCC.PRT ,
(Cit )
(State)
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Type of residence
(Single, Multiple, mobile home,
etc.) 5//L/(17, C
Type of business
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description
description
of how the business will operate
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Number of persons
involved in business
a/uC
MY 5(--4- P
• List names of persons employed 1f�AJAY (a. Vt)12/ i 1 tk-�fL)
Square footage of usable HCl area in
house (exclude garage) Validation Stamp
Location and square footage of area of
business activity in home (example: 00518' .i.0 1886 11-i5-88 i0
bedrooms; 125 square feet) SO S.0 CASH i TOTAL. 1 3'5.00
Description of machinery, equipment, and supplies being used in the
business operation AI/o Tr},,�; l>//ok: Al�c� Oi�G[ rYiptf.C.7'cyt_ .r
I have read and understand and agree with the conditions by which a
home occupation is allowed (Conditions on reverse side).
11 1 s n,
APP IC T IGNATURE DATt
If Applicant is other than property owner, authorization 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.
• •
V' -'APPROVED
'-'AP• • • • • • • • • • • •
PROVED \�Cfi� Initials fsc�� Date
CONDITIONS ATTACHED
DENIED initials Date
LQHOMOCC.PRT ,