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WISH
S � � 43 6 4 u�g& . JA o CITY OF LA QUINTA By - N © 67994 78-495 Calle Tampico, P. O.Box 1504, La Quinta, CA 922 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 QA) !=-. PROPERTY OWNER n) N t s5, W iS lj PHONE (o/ C) - -71 - 1-7 Y -R PROPERTY ADDRESS S- .'Z 5 E&)I r- v S. MAILING ADDRESS SF3m TYPE OF RESIDENCE (single, multiple, mobil home, etc.) TYPE OF BUSINESS S-U2.oC J �2=,NL >rrACE21. ► n) F -E -F- V I r,) . BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE NUMBER OF PERSONS INVOLVED IN'BUSINESS LIST NAME OF PERSONS EMPLOYED 4I�ilI�IS Isl SQUARE FOOTAGE OF USABLE FLOOR AREA • IN HOUSE (EXCLUDE GARAGE) JaSj SF LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME ( EXAMPLE, "BEDROOM -125 S.F.") 12 S, DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS OPERATION C� ►aul f-lz . MAr_y_\) me-, peN P(_z k79E 12- I HAVE READ, UNDERSTAN , AND AGREE WITH THE CONDITIONS BY WHICH A HOME OCCUP ION IS AL ITIONS ATTACHED). APP CA T SIGNATURE 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. ABui1nd Safet Department'�,_, APPROVED DENIED CONDITIONS ATTACHED "CA "CASICNpfT2S �. h r f