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SHAFER
CITY OF LA QUINTA (619) 564-2246 yorn+< HOME OCCUPATION APPLICATION 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 �8 Ec(-,fN p FF 9 PHONE(%IQ) 5&q-,39(49 PROPERTY OWNER BECC I -N jt-JAFE, 2 PHONE (04) c&q- PROPERTY ADDRESS 5L4-'?leS Uy emi DA -DtA-Z LA a, m-rA TYPE OF RESIDENCE (single, multiple, mobile home, etc.) SiN c-,�E TYPE OF BUSINESS CONy tsT ► K c-, REc=tut A-rto Kk 6NAVLGA tAtitcC �,T�c 3 g (CA SIN �ShA ` P4S LC-IcfeS SP G BRIEF DESCRIPTION OF HOW THE BU SS WILL OPERATE Mo�c Nl, �H�N F AX NUMBER OF PERSONS INVOLVED IN BUSINESS ©N ;;;�• LIST NAMES OF PERSONS EMPLOYED SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE) las�%j STAMP LOCATION AND SQUARE FOOTAGE OF.AREA OF MAR -0 21893 BUSINESS ACTIVITY IN HOME. (EXAMPLE, "BEDROOM - 125 S.F.") BUILDING M9 S*M DEPT, DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPL18ZS MIVU Ubtu IN tHE BUSINESS OPERATION g (.q VOupA- -% pE7 pc_ I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A'HOME OCCUPATION IS ALLOWED (CONDITIONS ATTACHED). APPLICANT SIGNA -a-�3 DATE IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT REQUIRED. OWNER/AGENT SIGNATURE DATE :MPO i;1 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 Dqpartment ld APPROVED BY LDATE 3 CONDET-IONS ATTACHED DENIED BY DATE Y t. I VIII' VIII IIII IIII 20 CITY OF LA QUINTA HOME OCCUPATION APPLICATION M19) 5b4-Z14b 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 6 . M s-�O w A%.� PHONE Ot\-SGA -OSo 9 - PROPERTY OWNER SawnE PHONE ayw P- PROPERTY ADDRESS S '� -S\ b ,Auen\D P� TYPE OF RESIDENCE (single, multiple, mobile home, etc.) S\uG LE TYPE OF BUSINESS MAIL ^u --r SASS BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE S A\Bs Op�S TA\cE N VIA- P1k0tjiM A1.1� rx1-% eq- SN\PPm FRGt� HE`QE p� R��tp 'TO C�"1.TTRAt_ 1-ofA't\o1�1 IN GRA\J6E- GO . NUMBER OF PERSONS INVOLVED IN BUSINESS / LIST NAMES OF PERSONS EMPLOYED %• tMzbeNAL SQUARE FOOTAGE OF USABLE FLOOR AREA IN, HOUSE ( EXCLUDE GARAGE) = 18o o S.F . VALID,TION STAMP LOCATION AND SQUARE FOOTAGE OF AREA OF "�� ` `z BUSINESS ACTIVITY IN HOME (EXAMPLE /S �G • "BEDROOM - 125 S.F.") ZiNNING- Root -4 - /So .s £ DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS OPERATION Cow\p \rTeiZ , SN,\Vymo c-, Qa�c�3 I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME OCCUPATION IS ALLOWED (CONDITIONS ATTACHED). gp 5 5 p - n 0�5 'iJ 1 3 OTA. - 5-93 10 1 35.00 M 3 APPLICANT SIGNATURE DATE IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT REQUIRED. OWNER/AGENT SIGNATURE DATE -MP3F :"'^: 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. Build' and Safety Department �(jzJ APPROVED BY DATE CONDITIONS ATTACHED °r /� DENIED BY DATE