HEFFLEY�IIIIIIIIIIIIIIIIIIII
62 UiXVITY OF LA OUINTA
4 MAR 11 1994
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BUILDING AND SAFETY
CITY OF LA QUINTA dC �3'?J
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78-495 Calle Tampico, 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 / `
.
_ Y' LIY"c�p �MU14z (ol z
PROPERTY OWNER
f 127o•r
PHONE /,/9 6-&ty - e,k.C7>
PROPERTY ADDRESS
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MAILING ADDRESS
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TYPE OF RESIDENCE
TYPE
(single,
multiple/,
mobil home/,, etc.)
TYPE OF BUSINESS
S ec�a/
�i�Fe� �s
�Or •99056, " �C 1�C9✓�S
BRIEF DESCRIPTION
_
OF HOW THE BUSINESS
WILL . OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS Q� e
LIST NAME OF PERSONS EMPLOYED
• SQUARE FOOTAGE OF USABLE FLOOR AREA
IN HOUSE (EXCLUDE GARAGE) 2-0 y..�r
LOCATION AND SQUARE FOOTAGE OF AREA
OF BUSINESS ACTIVITY IN HOME
(EXAMPLE, "BEDROOM -125 S.F.")
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE
BUSINESS OPERATION I-/ny��Q1�� 44,es l Jm�o-2✓` 5�,./
N L P 0.
I HAVE READ, UNDERSTAND AND AGREE WITH THE CONDITIONS BY WHICH A
HOME OCC• UP. I S AL ,QED (CONDITIONS ATTACHED) ..3
4 A �!
APPLICANT SIGNKTQ-Rrt DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER
OR AGENT IS REQUIRED.
OWNER/
IMP6RTANT: 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 DENIED CONDITIONS ATTACHED
e