HANNON�...
IIIIIIIIIIIIIIIIIIII P.0. BoX 1504
53 La Quinta, CA 92253
CITY OF LA QUINTA (619) 564-2246
AFM: HOME OCCUPATION APPLICATION
Of TO.
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
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r1O A) PHONE 619-,15-6 2 IOW
PROPERTY OWNER
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PHONE
PROPERTY ADDRESS
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TYPE OF RESIDENCE
(single, multiple, mobile
home, etc.) S �
TYPE OF BUSINESS
BRIEF DESCRIPTION
OF HOW THE
BUSINESS WILL
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OPERATE P7�d ::k1, ('are,
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NUMBER OF PERSONS INVOLVED IN BUSINESS ?not=,
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) 19,tprpIt
•r LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 S.F.")
DESCRIPTION OF MACHINERY, EQUIPMENT, AND S
BUSINESS OPERATION AxAlc2 <,,4 e Tunes el
I VE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
0 C PATION IS ALLOWED (CONDITIONS ATTACHED).
LICANT SIGNATURE
1-7116
DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGEN'
REQUIRED.
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.
Builging and Safety D a tment
•- APPROVED BY ATE
.fie CONDITIONS ATTACHED
DENIED BY DATE