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FE $35.00
OCT 2 7 1994 CITY of LA QUINTA
BY kampico, P. O.Box 1504, La Quinta, CA 92253
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 PHONE
PROPERTY OWNERPHONE
PROPERTY ADDRESS
MAILING ADDRESS
TYPE OF RESIDENCE si a ulti,�l obil home, etc.)
TYPE OF BUSINESS 6I-
BRIEF DESCRIPTI N OF HQW THEAUSINESS WILL OPERATE
6x?T , 8 k 0 -AT S -TR t T )C7 !
NUMBER OF PERSONS INVOLVED IN BUSI�SS _
LIST NAME OF PERSONS EMPLOYED �j'
SQUARE FOOTAGE OF USABLE FLOOR AREA,
IN HOUSE ( EXCLUDE GARAGE) 1a0b -,0
LOCATION AND SQUARE FOOTAGE OF AREA
OF BUSINESS ACTIVITY IN HOME.
(EXAMPLE, "BEDROOM -125 S.F. ") C�(f/ S� F�
DESCRIPTION OF MACHI
BUSINESS OPERATION
Y, EQUIPMENT, D SUPPLIE�EING USED IN THE
rLW � 102 CA 61d
I HAVE READ,DEflSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A
HOM =70�N I LLD (CONDITIONS ATTACHED).
A PLICANT SIGNATURE DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER
OR AGENT IS REQUIRED.
_5,4,,� C
/AGENT
GNATURE
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.
Buil n and Safety Department
APPROVED DENIED CONDITIONS ATTACHED