DELGADO72
HOME OCCUPATION PERMIT
APPLICATION
CITY OF LA QUINTA
76-105 Celle Eetedo
P.C. Box I5O4
Lo ouinte,CA. 92253
W$) $90-224e
564-2246 PLANNING DIVISION 5/87
lead -each condition listed on the revers de side of this form to see if
the proposed activity can comply with the City's Home Occupation
Regulations. $35.00 fee
TYPE OR PRINT IN INK
V .S . ✓et ado PHONE S� y-9/ 7 %
APPLICANT'S NAME Gre 9ors�g�
i PROPERTY OWNER S%q me PHONE
PROPERTY ADDRESS .5'17-005- /9 va, A2 IVAIP,04_ o
/ (Street)
/—,q- G, }' q Z2.S.3
-- (City) (State) . (Zip)
Type of residence (Single, Multiple, mobile home, etc.) S/rle�9/e
Type of business //
Brief de.5cription of how the business will operate a C�—a D
/// C
Number of persons involved/in business /
List names of persons employed 1,17-
Square footage of usable floor area in
house (exclude garage) //00 Validation Stamp
Location and square footage of area of
business activity in home (example: I 00518� 10 1242 08-01-88 i3
bedroogqms; 125 square feet) l 0CASH i TOTAL i 35.00
/3Cd-^oo n ." S s �?`
Description of machinery,)equipTent, and supplies being used in the
business operation VCRs - Jcoe�r�/ ?��Dcr video ?mac r
I have read and understand and agree with the conditions by which r
home occupation is allowed (Conditions on reverse side).
APPLIC SIGNATURE DATE
If Applicant iG other than property owner, authorization of owner or agent
required.
OWRER P 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.
APPROVED Initials �I��Date
CONDITIONS ATTPOLD—
DENIED initials Date
LQHOMOCC.PRT