Aguayo (2)U
78-lU5 Calle Estado
d �$` P.O. Box 1504
La Quinta, CA 92253
CITY OF LA QUINTA (619) 564-2246
HOME OCCUPATION APPLICATION27
I VIII' VIII IIII IIII
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 -�5� c(�civ r p�A ° �'�� `-�tb« ' ' ONE
PROPERTY OWNER 3 0 '�Fllcaavp PHONEuS S7%� q S�
Ij
PROPERTY ADDRESShile- 6
TYPE OF RESIDENCE (single, multiple, mobile home, etc.) S /,nucXe-
TYPE OF BUSINESS (G A ""'N
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE,
Z , -
0
NUMBER OF PERSONS INVOLVED IN BUSINESS i j
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE ( EXCLUDE GARAGE) 4�112yt ;,i,%/ Ax tw5
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAMP E,
"BEDROOM - 125 S.F.") do
PAID $35.00
di TAMP . f2<
APR 15 1993 ci--a/Q0
3s 0a .
BUILDING AND SAFETY DEPT,
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE
BUSINESS OPERATION <:/_-.1100„1 / .0/0, Gr;�.;I ,.�QIc,/ �CPAk,'A �7Is
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
/z - Sr
APPLICANT SIGNATURE % / DATE
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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Building and Safety Department
APPROVED BY DATE CONDITIONS ATTACHED
DENIED BY DATE