Swanson-Duarte. I IIIIII IIID I'll �I'I 78-105 Calle Estado
P.O. Box 1504
19 La Quinta, CA 92253
(619) 564-2246
FM OFn,t 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.
APP Vv S NAME '� o � i Ct o- � • Suxm)%c) n " )AQ - L PHONE
jjci cN R �� � h00. C'i 0LXQ PROPERTY OWNER n,Ul, fl On PHONE
PROPERTY ADDRESS
TYPE OF RESIDENCE'((single,) multiple, mobile home, etc.)
TYPE OF BUSINESS
BRIEF DESCRIPTION OF HOW THE-RUSINESSWILL OP \RATE
�E v . ps2p wl-� FVQ� �Ia c�,^s-� Hca rte!!_
NUMBER OF PERSONS INVOLVED IN BUSINESS .I
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR ARFA IN
HOUSE ( EXCLUDE GARAGE) / 02 50
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAMPLE,.
"BEDROOM - 125 S . F . " ) / c5Z f5 TV
DESCRIPTION OF MACHINERY, EQUIPMENT, AND
BUSINESS OPERATION ClQQC-- .
CITY OF LA QUINTA
VALID O STAMP.
61992
BYUILDWG AND SAFETY D
4
IES BEING USED IN THE
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
SIGNATURE
IF APPLICANT IS OTHER THAN PROPERTY OWNER,
REQUIRED
OWNER/AGENT SIGNATURE
AUTHORIZATION OF OWNER OR AGENT
Z
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.
rBui n and SafetyDepartment
APPROVED BY 2- DATE - CONDITIONS ATTACHED
DENIED BY DATE
NI