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78
HOME OCCUPATION PERMIT
APPLICATION
CITY OF LA Oto
79-105 Caih 9906d,
P.O. Box 1504
L• Ou1etesCA. 9221
(619)564-1846
664-2246 PLANNING DIVISION
Rad each condition listed on the revers e side o 0
the proposed ly with the City's Home occupation
ltequlatio $ 3 5.0 0 fee �
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APPLICANT'S NAMEHONE '>iii L{ -� 3"7
11
PROPERTY OMMER fi J:F PHONE 3 O -
PROPERTY ADDRESS G) 1 -1 V% 0 a
�( Street )
(City) (State) (Zip)
Type of residence (Single, Multiple, mobile home, etc.)
Type of business /�J1l I
Brief description of how the business will ope
in business
names„•os persons
'I Ci �'�TY7•f-Y"cc n-�7T'r�
Square footage'of usable floor area i
house (exclude garage) validation Stamp
Location and square footage of area of 005i8� i0 7543 Ob -''7-89 i0
business activity in home (example: i0 CASH i TOTAL 1 35.00
bedrooms; 125 square feet)
'r—f -
Description of machinery, equipment, and supplies being used in the
business operation _ C l o� 0, -� -11 c2 jzm-1 <-A. ,
I have read and understand and agree with the conditions by which a
home occupation is allowed (Conditions on reverse side).
APPLICANT SIGNA DATE
If Applicant is other than property owner, authorisation of owner or agent
required4/0
8-�G �L s Nol� LTp /2-7
OWNER OR GENT S GNA 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.
R f f • • R • R f f f t R
PROVED ��6if' `J Initials Z 169 Date
CONDITIONS ATTACHED
DENIED "Initials Date
LQHOMOCC.PRT