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P.O. Box 1504
La Quinta, CA 92253
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' (619) 564-2246
CITY OF LA QUINTA
HOME OCCUPATION APPLICATION12
I IIIIII VIII IIII IIII
Read each condition listed on the attachment to this form to see if the
proposed activity can comply with the City's Home Occupation Regulations.
APPLICANT'S NAME / C PHONE 6ZZ9p a i s
PROPERTY OWNER l�L��i�'-f� f�'Cfc� PHONE
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PROPERTY ADDRESS 7e , 4&461 - /ze6V,
TYPE OF RESIDENCE (single, multiple, mobile home, etc.) SiNGL�
TYPE OF BUSINESS L', R A.
NUMBER OF PERSONS INVOLVED IN BUSINESS /
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR -AREA IN
HOUSE ( EXCLUDE GARAGE) tcgMOP STAMP.
LOCATION AND SQUARE FOOTAGE OF AREA OF APR 15 19
• BUSINESS ACTIVITY IN HOME (EXAMPLE, /`��o ,
"BEDROOM - 125 S.F.") z -2-p, AND
We fly U-tv •
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES E
BUSINESS OPE TION9,7d2 7C
s
1
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
c
L GNATURE DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED.
OWNER/AGENT SIGNATURE DATE
IMPORTANT: 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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Buildin and SafetyDepartment
APPROVED BY DATE CONDITIONS ATTACHED
DENIED BY DATE