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47
HOME OCCUPATION PERMIT
APPLICATION
CITY OF LA QUINTA
76-105 Celle Estedo
P.O. SOX 1504
a Oulnro,CA. 92253
h.- (Gig) $64-2246
664-2246 PLANNING DIVISION6/87
Read each condition listed on the reverside side of this form to see if
the proposed activity can comply with the City's Home Occupation
Regulations.
TYPE OR PRINT IN INK
APPLICANT'S NAME
PROPERTY OWNER
PROPERTY ADDRESS
PHONE 6-PU -a I
PHONE 2a
(City) (state) (zip)
Type of residence (Single, Multiple, mobile home,�
etc.) 1n,Tl�
Type of business F No c4 -y-, coJ c -"-v n L23 c ►�
Brief description of how the business will operate O -Pp1C,P_ &16
Number of persons involved in business
List names of persons employed
Square footage of usable floor area in
house (exclude garage) • 1.5n O
Location and square footage -of area of
business activity in home (example:
bedrooms; '125 square feet) 'a
va io 5j 0i_i�_
aiO -oV i TOTAL i� 89 35.0010
Description of machinery, equipment, and supplies being used in the
business operation
I have read and understand and agree with the conditions by which a
home occupation/'s allowed (Conditions on reverse side). 1
APPLICANTS A'T
G URE DATE
If Applic nt is other than property owner, authorisation of owner or agent
required.
OWNERO GENT SIGNATURE DATE
IMPORT T: False or misleading information shall be grounds for denying
your Home Occupation, or failure to comply with conditions listed on
reverse shall be grounds for revocation of permit.
f R f f f f f f R f R f f
v APPROVED W6&"-)— Initials ;lea Date
CONDITIONS ATTACHED
DENIED Initials 1 Date
LQHOMOCC.PRT
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