DECKs
111111111111 Billion,
CITY OF LAWNTI
664-2246 PLANNING DIVISION
Ta -105 Celle 118tede
P.O. Box 1504
L• Outnte,CA.02253
,(s19) too —n -os
6/87
Read each condit on the zeverside side of this form to see it
the proposed a ty-eat�co y with the City's Nome Occupati ��
Regulation $35.00 fee
TYPE OR PRINT IN INK
I n APPLICANT'S NAME Cs L ENff 'R. 1�. cC-__er PHONE
PROPERTY OWNER DRi! j#V (r o -77V C'eL 14> PHONE 56 t! - 4,16,3 y
PROPERTY ADDRESS 50119 CA 1 L E ?o SA I fA.
ILA (50/w d (Street) A q22 S' 3
(City) (State) (Zip) S PL
Type of residence (Single, Multiple, mobile home, etc.)%T%'t
Type of business 670L1r 40'riA01-S AoIZ G02P617Ag1-uA/.S
Brief description of how the business will operate If iv// -/-
up 601 iotin.vi•�Ea41 4- Gotr ONWIAI" ro/{ Co2?'oRAI-eamS
Al' Y/IA1uHs GOLC ILCS41itis oft Gocr e0444SCS.
Number of persons involved in business 0r*_ GyN �i SCK
List names of persons employed )V d Af it
0
Square footage of usable floor area in
house (exclude garage) ;?,2 DU w 4-r Validation Stamp
Location and square footage of area of 005182 i.0 2676 10-27-88 i0
business activity in home (example: i0 CASH i TOTAL i 35.00
bedrooms; 125 square feet)
73FDRoaAt S'60 $Q
Description of mac
business operation
equipment, and supplies being used in the
!�Pl�a.yLr �P� LR/'CR 1 A�r7
I have read and understand and agree with the conditions by which a
home occupation is allowed (Conditions on reverse side).
�,97 � t,,')e T 7,
APPLICANT SIGNATURE DATE
If Applicant is othern property owner, authorization of owner or agent
required
�,lw ha�Z� iql
OWNER OR AG9NT StGNATURE 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.
✓ APPROVED Initials
CONDITIONS ATTAC
DENIED Initials
LQHOMOCC.PRT
f R f r�f f
Date
Date
•