GOODW
•
IIIIIII'IIIIIIIIII'I P.O. BoxCalle Estado
1504
63 La Quinta, CA 92253
CITY OF LA QUINTA (619) 564-2246
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.
NAME
AND SQUARE FOOTAGE OF AREA OF
d PHONE
BUSINESS
"BEDROOM
APPLICANT'S
o
BUILDING MID SAFETY
PROPERTY OWNER
2 S
PHONE
DESCRIPTION OF MACHINERY,
PROPERTY ADDRESS
A rem-" -7-
BUSINESS
TYPE OF RESIDENCE
TYPE
(single, multiple, mobile
home, etc.)
TYPE OF BUSINESS
Se 2 v r e -e ^ A c-
,zI 9.z-,eAAI-
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE--„,,�_. Sar
NUMBER OF PERSONS INVOLVED IN BUSINESS /
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE ( EXCLUDE GARAGE) Z c;” 0-0 r
PAID
LOCATION
AND SQUARE FOOTAGE OF AREA OF
JUN 121992
BUSINESS
"BEDROOM
ACTIVITY IN HOME
"
(EXAMPLE,
b r '7—
BUILDING MID SAFETY
- 125 S . F . )
2 S
DESCRIPTION OF MACHINERY,
EQUIPMENT, AND
SUPPLIES BEING USED IN
BUSINESS
OPERATION
UF F I G f;
- Zrf v 10 N� 9-- i
AMP
•,��
I H �FE"RE, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OC
CUPATION IS ALLOWED (CONDITIONS ATTACHED).
SI
// 2- / Y z
DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRE, %% A
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 Department
`� APPROVED BY LU.0. DATE-%��1�.2 CONDITIONS ATTACHED
DENIED BY DATE
-------------
88
90-7052/3222
19 Z --
r•
$ 3S, (n0
/ Dollars
AMERICAN SAVINGS A -A BANK
72.625 Highway 111 015/441.0000
Palm Desert, California 92260
For
1:322270520:51B 835480Coaa