RAMIREZ (2)•
C11Y Of LA OVINIA 76-105 Calls Es
P.O. sox 1604
NOME OCCUPATION PERMIT Le Oulnla, CA
(619)5-64-2246
APPLICATION•
peed each corjdjtron listed on ttc attachment to this form to see at the
proposed activity .can comply with the City's Moms Occupation Regulations.
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(TYPE OR PRINT IN INK)
APPLICANT' * SNAME � N N Y R MIR Z PHONE �-6 , "16
PROPERTY WNER FA NN Y RAMI RAZ PHONE
PROPERTY ADDRESS
TYPE OF RESIDENCE (single, multiple, mobile home, etc.) J NGL E
TYPE OF BUSINESS 9r= 51DFNC-= IDER•Cy CfIR�'
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
NUK. ER OF PERSONS INVOLVED IN BUSINESS ! LU D .
LIST NAMES OF PERSONS EMPLOYED /I/QA.1 -
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
MOUSE (EXCLUDE GARAGE) /�d►!�D V
LOCATION AND SQUARE FOOTAGE OF AREA OF LA QUINTA
BBEDRESS OOM -A 25y17Y IN SQUARE FEET"I ` 00' OCT 18 199'1
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N e USei�
DESCRIPTION OF MACHINERY, LQUIPVMgT. AND SUPPLIrr1tINC'VM WIi'fl, SS
OPERATION A10 /V67 ---
I HAVE READ', UNDERSTAND, AND AGREE WITH THE
OCCUPATION IS ALLgWED (CONDITIONS ATTACHED).
CONDITIONS BY
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WHICH A HOME
DAT
IF APPLICANT ISN OTHER THAN •ROPERTY WNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED. ••
OWNER/AGENT SIGNATURE DATE
IMP0R?A.`IT: False or misleading information shall be grounds for denying your
Home Occupation; failure to comply with conditions listed on the attached page
shall be grounds for' revocation of permit.
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BUILDING i SAYM DIPAR1=1rr
APPROVED BY DATE CONDITIONS A'T'TACHED
DEN: ED BY' DATE
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