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58
CITY OF LA QUINTA
HOME OCCUPATION APPLICATION
/ V i V J V U 1 1 G L J L
P.O. Box 1504
La Quinta, CA 92253
(619) 564-2246
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 NAME2C f-/ PHONE <-&� �-
PROPERTY OWNER 6,ql,)7 �� PHONE�-
PROPERTY ADDRESS 20
TYPE TYPE OF RESIDENCE (single, multiple, mobile home, etc.)
TYPE OF BUSINESS
BRIEF DESCRIPTION OFHOWTHE BUUSSINESS WILL OPERATE/
e7
NUMBER
C • AN
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOORA IN
HOUSE (EXCLUDE GARAGE) 1?b 0
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAXPLE,
"BEDROOM - 125 S.F.")
7 5U
BY
DESCRIPTION OF MACHINERY, EQU PMENT, AND SUPPLII
BUSINESS OPERATION _ /�/� 70 d��
Z
MAWMN STAMP
1
AUG 0 51993 Itts
r --A
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
A n / 1 I/ r/�J-/7
APPLICANT S GN URE DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGEN-
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 ar n _
APPROVED- BY TE CONDITI:ONS-ATTACHED`
a S 'D RAL r 0 r=`_
�C L J�TI®_ MAT ,R� t/
DENIED BY DATE n