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FEE $35.00
CITY OF LA QUINTA
78-495 Calle Tampico, P. O.Box 1504, La Quinta,
HOME OCCUPATION PERMIT
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.
BUSINESS NAME
PROPERTY OWNER
PHONE
PROPERTY ADDRESS
MAILING ADDRESS
TYPE OF RESIDENCE (single, mul le,
mobil home, etc.) S
TYPE OF BUSINESS r_\nL7!>S.
BRIEF DESCRIPTION OF HOW THE BUSINESS
WILL` OPERATE T �\
e
n CI\\" rc
NU"ER OF PERSONS INVOL D N B NESS
.LIST NAME OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA
• IN HOUSE ( EXCLUDE GARAGE)
LOCATION AND SQUARE FOOTAGE OF AREA
OF BUSINESS ACTIVITY IN HOME
(EXAMPLE, "BEDROOM-125 S.F.")
— LSO 91
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE
BUSINESS OPERATION �(�� . C'.►C'9.ihe C
I HAVE READ DERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A
HOME O!= IS ALLOWED.(CONDITIONS ATTACHED). �\\
APPLIC T RE DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER
OR AGENT IS REQUIRED.
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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.
• Bu' and Safety Department
APPROVED DENIED CONDITIONS ATTACHED
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FEE $35.00
CITY OF LA QUINTA
78-495 Calle Tampico, P. O.Box 1504, La Quinta,
HOME OCCUPATION PERMIT
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41
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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.
BUSINESS NAME
\i10E
`&aISPHONE
PROPERTY OWNER
PHONE
PROPERTY ADDRESS
MAILING ADDRESS
TYPE OF RESIDENCE
(single,
mull le,
mobil home, etc.)
TYPE OF BUSINESS
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= ;7� z44�\cz l
BRIEF DESCRIPTION
OF HOW THE BUSINESS
WILL/
NUMBER OF PERSONS INVOLVED`'iN B NESS
LIST NAME OF PERSONS EMPLOYED ��
SQUARE FOOTAGE OF USABLE FLOOR AREA
IN HOUSE (EXCLUDE GARAGE)
LOCATION AND SQUARE FOOTAGE OF AREA
OF BUSINESS ACTIVITY IN HOME
( EXAMPLE , "BEDROOM-12 5 S.F.")
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE
BUSINESS OPERATION
I HAVE READ DERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A
HOME O '1`Q IS ALLOWED_(CONDITIONS ATTACHED). I ,
APPL
DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER
OR AGENT IS 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.
Building and Safety Department
APPROVED DENIED CONDITIONS ATTACHED