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CITY OF LA QUINTA
HOME OCCUPATION APPLICATION
I V � V J \.LLiiV YJ �.YvIJ
P.O. Box 1504
La Quinta, CA 92253
(619) 564-2246
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 -1 M Y- y VH ,47�Neto _ PHONE
PROPERTY OWNER PHONE
PROPERTY ADDRESS 5yy bL I ��-
TYPE OF RESIDENCE (single, multiple, mobile home, etc.) 5 0� �L C
TYPE OF BUSINESS 1 N D0 Pe^UfJT D STP LI Z S1{ tP of Eglzict� Ftt'y2$pd- PYzop ucTS
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE SOL -0
1DVL.I eRIZ') 1W)MLL-� - P�= aPLE W�+v GP'LL -FKDrK Jt' it"rISlN4 oNT ACTS , FTc .
NUMBER OF PERSONS INVOLVED IN BUSINESS a2-
LIST NAMES OF PERSONS EMPLOYED Tl Wl d Su -6 y C mG7 gay
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) N 0O
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 S.F.") ly 6
njfW ftUWw1" �1euu
OCT 0 X1993G,��
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIE979-E-ING USED IN THE
BUSINESS OPERATION CrWPu-rM, n�—F ICS SuPlu� �3
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGE:
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.
Building and Safety Department. #41,
APPROVED BY ', BATE �� " CONDITIONS ATTP.%- _
DENIED BY DATE