STERLING� I IIIIII'llll IIII IIII � r
45 7CITY OF LA OUINTA
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HOME OCCUPATION PERMIT t V ' ' ° °
P.O. Box 1504
APPLICATION
o OuintoXA.92233
%, (6119) 964-2246
564-2246 PLANNING DIVISION 6/87
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. p
TYPE OR PRINT IN INK
APPLICANT - S NAME M 0 (Z2A -T'E P-" U PHONE
PROPERTY OWNER Z l OJ J6al t H-t---V-P-�ZA PHONE 5r. -4 g49 3 j -s:-.
PROPERTYADDRESS '9 L/M C-
(Street)
(City) (State) (Zip) f
Type of residence( �ngleMultiple, mobile home, etc.)
Type of business 00-r CALL MASEAGi�l
Brief description of how the business will operate 007 C PrL(,
MASS- AC�C - (,o UIt--,iiS I-A�".ts - ust ITO em e- roti y
t d✓L +jE C -AL -<-S.
Number of persons involved in business
• List names of persons employed 5 �C-r
Square footage of usable floor area in
house (exclude garage) 1Z o o Validation Stamp
Location and square footage of area of
business activity in home (example: 00518? 14 7356 it -09-87 1
bedrooms; 125 square f et) o ).G CtaSl�i i TOTAL i 35.()0
)o X) 1 -(I D ' 77,
Description of machinery, equipment, and supplies being used in th
business operation M &Ss A(o E T A B L- O� is ( 470r 6,6& x61 e ..
I have read and understand and agree with the conditions by which a
home occupation is allowed (Conditions on reverse sides..
7`7-
111,3;1/9 7
APPLICAN SIGNATM DATE
If Applicant is other than property owner, authorization of owner or agent
required.
OWNER OR AGENT SIGNATURE DATE
IMPORTANT: 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.
APPROVED Initials
CONDITIONS ATTACHED
DENIED I✓ Initials
LQHOMOCC.PRT
Date
Date