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La Quinta, CA 92253
CITY OF LA QUINTA (619) 564-2246
HOME OCCUPATION APPLICATION II"IIIIIIIIIIIIIIII
44
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 C00±AQ-
_y 4,,( #\ PHONE _5(9y ' 77
PROPERTY OWNER f-AL\ 1V ` Vyy\ PHONE
PROPERTY ADDRESS AVZ tom- hnrn A
TYPE OF RESIDENCE (single multiple,
TYPE OF BUSINESS
mobile home, etc.)
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE <AhAl-e S I(\
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABL FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) VALIDATION STAMP
LOCATION AND SQUARE FOOTAGE OF AREA OF MY OF 4 UUWTA
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 S.F. " )—UAronrrm J UN 2 1993
DESCRIPTION OF MACHINERY, EQUIP Tonnp
T, AND SU PL,idU%%WaawEpyimpjrHE' 2S--d
BUSINESS OPERATION CDMD�I-kP✓, , pnA N rD .) _
I H� %Nj UNgtRSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME'
OCC T N IS/jPWED (CONDITIONS ATTACHED).
LICANT SIGNATURE
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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Building and Safety apartment
!/ldAPPROVED B ( — DATE �- �-3 �i3 CONDITIONS ATTACHED
DENIED BY DATE