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HARRIS• 78-105 Calle Estado P.O. Box 1504 La Quinta,'CA 92253 CITY OF LA QUINTA (619) 564-2246 \ HOME OCCUPATION APPLICATION I I'II" IIII' IIII I"I� 33 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. 4-,tun-- APPLICANT'S NAME 7�� T Z . WSQ I S PHONE {�(p1q �(Oy ayet— PROPERTY OWNER PHONE � / PROPERTY ADDRESSy7'�c�� jlZ�t�A 4(-v4AMz�O TYPE OF RESIDENCE (single, multiple, mobile home, etc.) TYPE OF BUSINESS 7V?- UCP P-R !�E;e(/fCE (SPEC • IAJ /&j HO"6-SEktl) BRIEF DESCRIPTION . OF HOW THE BUSINESS WILL OPERATE �foru�s . NUMBER OF PERSONS INVOLVED IN BUSINESS LIST NAMES OF PERSONS EMPLOYED fU©RJR SQUARE FOOTAGE OF USABLE FLOOR AREA IN 7 HOUSE (EXCLUDE GARAGE) • LOCATION AND SQUARE FOOTAGE OF.AREA OF BUSINESS ACTIVITY IN HOME (EXAMPLE,. "BEDROOM - 125 S.F.") VOMMMASTAMP.�. •� OCTI . i.ar—*k)T F BY DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES NG USED IN THE BUSINESS OPERATION I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME OCCUPATION IS ALLOWED (CONDITIONS ATTACHED). , , LozL PPLICANT 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. ------=---=--------------------------------------------------------------- -------------------------------------------------------------------------- • Building and Safety De a tment APPROVED BXA& z—BATE /07- -� / CONDITIONS ATTACHED DENIED BY DATE