ARRIETA25
i "ftR. CITY OF LA QUINTA
HOME OCCUPATION APPLICATION
i8-lu5 ualle tstaco
P.O. Box 1504
La Quinta, CA 92253
(619) 564-2246
i`J �-
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\ E�QLQ�G! V C�.(rl��t PHONE��i
PROPERTY OWNER `�Q 1� d� Z PHONE
PROPERTY ADDRESS �( ;rj�I ' C(i Q O f\UE I.&
TYPE OF RESIDENCE (single, multiple, mobile home, etc.)
TYPE OF BUSINESS L: L,c„J Wit,
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE v
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED I�
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
I RAQ $35 00
HOUSE ( EXCLUDE GARAGE) L' "*T0PMjMNrASTAMP .
LOCATION AND SQUARE FOOTAGE OF AREA OF MAR 1.91993
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 S.F.")'n
BY
DESCRIPTION OF MACHIN Y, EQUIPMENT, AND SUPPLIES USED .IN THE
BUSINESS OPERATION A^ 0os3
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
APPLICKNT SIGNATURE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED.
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.
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Buildinq and Safety De a tment
APPROVED BY DATE- % 3 CONDITIONS ATTACHED
DENIED BY DATE