STORMSP.O. Box 1504
55 La Quinta, CA 92253
' - - - - - (619) 564-2246
�
CITY OF LA QUINTA
HOME OCCUPATION APPLICATION
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
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) /2-0 O
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 S.F.") A �5 S!!� -
JUL 1 u 1993
STAMP
OT UWT.
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BE THE
BUSINESS OPERATION
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
APPLICANT SIGNATURE
7/1 9 /,T3
DA
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGEN-1
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.
v
BuildIna and Safet IDepartment
4z APPROVED BY S 2 --DATE _ g�
DENIED BY DATE
CONDITIONS ATTACHED
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_DAPI P��l/�� &CRO CLF PHONE
PROPERTY OWNER
/ 4=)
PHONE
PROPERTY ADDRESS
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A V E
TYPE OF RESIDENCE
(single, multiple, mobile home, etc.) Sf�lG��2-
TYPE OF BUSINESS
Cp re) D c.jer'
C- O 14 5 L4--H(CJ 1 O 0
[ l��LOve I1Y1Q
BRIEF DESCRIPTION
OF HOW THE
BUS NESS WILL OPERATE C n /J 6tk
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n res �c1,e
n Sa
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NUMBER OF PERSONS
INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED �! A-fJE J"I DP I`ll 5
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) /2-0 O
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 S.F.") A �5 S!!� -
JUL 1 u 1993
STAMP
OT UWT.
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BE THE
BUSINESS OPERATION
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
APPLICANT SIGNATURE
7/1 9 /,T3
DA
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGEN-1
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.
v
BuildIna and Safet IDepartment
4z APPROVED BY S 2 --DATE _ g�
DENIED BY DATE
CONDITIONS ATTACHED