Callejas - Apt 2421�,�rf�e�cit3►e,�
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HOME OCCUPATION OF A BUSINESS
PERMIT# Md�� INSPECTION DATE �+4Q 51 �- �� TIME I '
Please read each condition listed on the attachment in this packet to see if the
proposed home business complies with the City's Home Occupation regulations.
NEW APPLICATION $117.00 LOCATION CHANGE $57.00
Applicant Names:
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Address:
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Phone:
Email:
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Type of residence:
Aociv-+f"POUO-0
Square Footage:
Type of Business:
Brief Description of the Business Operation:
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Location and Square Footage of Business in Home: (Ex. Bedroom 120 SF)
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Number of Persons Involved in Business:
Description of Machinery, Equipment, and Supplies Being Used:
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READ, UNDERSTAND, AND AGREE WITH THE ATTACHED CONDITIONS WHICH A HOME
03ON PERMIT IS ALLOWED,
SIGNATURE
DATE
IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, A SIGNED AUTHORIZATION FROM
OWNER OR RENTAL/LEASING AGENT IS REQUIRED.
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COMPANY NAME
DA
N A PH NE
PLEASE CONTACT YOUR HOMEOWNER'S ASSOCIATION PRIOR TO PAYING FOR YOUR HOME
OCCUPATION PERMIT. YOUR HOA MAY RESTRICT OR PROHIBIT A HOME -BASED BUSINESS.
IMPORTANT: FALSE OR MISLEADING INFORMATION SHALL BE GROUNDS FOR DENYING
YOUR APPLICATION; FAILURE TO COMPLY WITH THE CONDITIONS LISTED ON THE
ATTACHED PAGE SHALL BE GROUNDS FOR REVOCATION OF THIS PERMIT
I HAVE READ AND UNDERSTAND THIS
,
1ST TEMENT.
CODE COMPLIANCE USE ONLY
APPROVED DENIED SPECIAL CONDITIONS
OFFICER DATE