ROBERTS0
•
•
CITY OF LA OUINTA
HOME OCCUPATION PERMIT
APPLICATION
78-106 Call* Eatado
P.O. Box 1604
La Oulnta. CA 92263
(619)664-2246
Read each condition lasted on the attachment to this form to see if the
proposed activity can comply with the City's Home Occupation Regulations.
l�(TYPE OR PRINT IN INK)__________________________________________________________ y +,, Q
APPLICANT'S NAME V USf 4�UC^/ R QbEV—TS PHONE 161 q S 64 3 (2-1
PROPERTY OWNER N,01 PHONE k S Lf5-2-903)
PROPERTY ADDRESS S - 3�, e • eu- Q,kr- n_,
TYPE OF RESIDENCE (single, multiple, mobile home, etc.) S I.I1 [ e -
TYPE OF BUSINESS �1tc�Veey�.� � D�IA�� nealko%-
NUMBER OF PERSONS INVOLVED IN BUSINESS e"
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE F O EA IN
HOUSE ( EXCLUDE GARAGE) a �x VALIDAT�rRS 1 1. 1991
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM -1 5 5 UARE FEET") BUa.DIN�iMp QEpj,
DESCRIPTI N OF MACHINERY, Ee,�U PMENT AND S PLIESrB I G USED I TH BUSINESS
OPERATION I r� -ti A) 7�VtI lAa QS t! 0 �e18t
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 AGENT
REQUIRED. S� 74,�- '7'7C�t'1�--�`�
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.
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
-------------------------------------------------------------
-------------------------- -------------------
BUI 3NG i SAFETY DEPAR �✓ �/
APPROVED BY DATE 1_ (I CONDITIONS ATTACHED
DENIED BY DATE
ae. Lneck
Op
sr p--
11111111111111111111
70
J`
•
A
April 3, 1991
The City of La Qunita
To.Whom It May Concern:
Richard K. and Martha E. Dodson as owners of the property
(house) at 51380 Avenida Herrera authorize Josh Roberts -
tenant - to conduct his business out of said property. The
business entails the design and sales of kitchen and
bathroom cabinets.
Thank you for your cooperation. If you have any further
questions plea call us.
Richard.K. Dodson
.1817 Walnut Avenue
Manhattan Beach, CA 90266
(213) 545-2903
i