EBYCITY OF LA QUINTA (619) 569-2246
r`y or Tio HOME OCCUPATION APPLICATION I IIIIII IIIII IIII IIII
80
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 NAME DAU ID F -6y PHONE S d 7 3
PROPERTY OWNER S/DQE-/ PHONE
PROPERTY ADDRESS <j�), `' 7 S ,01A Z
TYPE OF RESIDENCE (single, multiple, mobile home, etc.) Sj�(GL
TYPE OF BUSINESS LC 5
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE 01C
4,1�iPotJucr— 0jU(CL0jOC10 XL/ j?A411d Oii• --
NUMBER OF PERSONS INVOLVEb IN BUSINESS'..
LIST NAMES OF PERSONS EMPLOYED U!o `J
5.0
SQUARE FOOTAGE OF USABLE FLOOR AREA IN PAID OFLAQUI0 TA
HOUSE ( EXCLUDE GARAGE) _ /�2 jD0 -<g ma=r VALIDATION STAMP
91
LOCATION AND SQUARE FOOTAGE OF .AREA OF FEB 16 1593
BUSINESS ACTIVITY IN HOME. (EXAMPLE, BUILDI AN ETYDEP T.
• BEDROOM 125 S.F.") /S/p � tcr-
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE
BUSINESS OPERATION IO 7eP jOPS 6 C Af -5L, P%t KS.
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION 1,S ALLOWED (CONDITIONS ATTACHED).
PLICANT SIGN
DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
T1T?P TTT-T#
AGENT SI
/�, ` �J
DATE
IM P OF iru.T: 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.
Buildin and Safety De=-C2—DATE
APPROVED BY� CONDITIONS ATTACHED
DENIED BY DATE