SANCHEZ (2)� I IIIIII VIII I'll IIII
60
HOME OCCUPATION PERMIT
APPLICATION
CITY OF LA CUM
78-105 Celli asUM
P.O. Box 1504
�• Oulate,CA.s22(
(6191564 - Elk 4 6
664-2246 9�tLANNING DIVISION 6107
ad each n listed on the reverside side of this orm to see
the proposed activity can comply with the City's Home occupation
Regulations. $35.00 fee
TYPE OR PRINT IN INK
APPLICANT'S NAME XASI I C Q SA nl C �C. Z PHONE 5( 4-5
v PROPERTY OWNER X t oEtZ -�54NcNerZ PHONE _6
PROPERTY ADDRESS 5 a—ca `tc-, AVc-#,Jl Oi4 YI LLFI
LA Qu i NTP, ( Street) O -A 9aa5 5
\ (City) (State) (tip)
Type of residence (Single, Multiple, mobile home, etc.) 51A(6167 -
Type of business ('0n1ST. L' L Anl-aP
Brief description of how the business will operate `D kiyc, `i-0 0-Dnf57'
5jTe- - .rxrk "o Sc2APs nl� -1)9YwmL -wanes - 77-7d -7n1.r*=-
Number of persons involved in business
• List names of persons employed
t�
Square footage of usable floor area in
house (exclud garage) /D X /<5 #?W"?- - Validation Stamp
d5-614> 7Z -r 005182 i0 7426 06-23-89 10
Location and square footage of area of 10 CASH i TOTAL 1 35.00
business activity in home (example:
bedrooms; 125 square feet)
10 XIS -m&j RZaM r3 Y c-ivi.i/6 /Z/"_ --
Description of machinery, equipment, and supplies being used in the
business operation 'TEL -0L --X/5 Z)u.nof 77?ud-�- c5
A;2MV*1t BCsi —`1) "S
77fTc2�-s'D )0 C& -{,'P ' l2LricC
I have read and understand and agree with the conditions by which a
home occupation is allowed ,(Onditions on reverse side).
DATE
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.
•Y f f t f f w f f t f ! t t
"PROVED Initials Date
77'CONDITIONS ATTACHED S4 121Eu"sf-
DENIED initials Date
LQHOMOCC.PRT