BELL�_ "\� IIIIIIIIIIIIIIIIfIII P.O. Box 1504
La Quinta, CA 92253
CITY OF LA QUINTA (619) 564-2246
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 IhiaK), I -0CC,��1WE7-Amr)PHONE6W2M9
PROPERTY OWNER Ste- PHONE 6-6, y 5_a 07
PROPERTY ADDRESS 5325
TYPE OF RESIDENCE (single, multiple, mobile home, etc.)/✓lo��
TYPE OF BUSINESSZ'7?�vlf'
BRIEF DESCRIPTION,OF HOW THE BUSINgSS WILL OPERATE Byt A44%f of Ae't-j
hN1/S.c f CTC Quik oA Cajbi S, lo��.�S r�r� _SG�.�/�� �� •-
NUMBER OF PERSONS INVOLVED IN BUSINESS %� )
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AR A IN PAID95.00 # l^
HOUSE ( EXCLUDE GARAGE) /00 CIV1A� P
LOCATION AND SQUARE FOOTAGE OF AREA OF AUG 041993
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 S.F.") SAFETY DEPT.
BY
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED .IN THE
BUSINESS OPERATION Co w• a•i �
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
PPLICANT S NATURE DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
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.
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Building and -Safety Department
APPROVED BYk&- DATE
DENIED BY DATE
CONDITIONS ATTACHED `9