BARASSI--
•
78-1U5 Calle Estado
P.O. Box 1504
La Quinta, CA 92253
CITY OF LA QUINTA (6 9) 564-2246'
HOME OCCUPATION APPLICATION
Read each condition listed on the attachment -to this form see if the
proposed activity can comply with the City's Home Occupation Regulations.
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APPLICANT' S NAME ^4464C4EE " PHONE 619-a56-4- flloi3
PROPERTY OWNER S-4 m* PHONE
PROPERTY 'ADDRESS 53 -355 ,QUA Ju /9R EZ
TYPE OF RESIDENCE (single, multiple, mobile home, etc.) SitiG�
TYPE OF BUSINESS�,��Ef'�/?J(, cSE�v/C�
BRIEF .DESCRIPTION OF HOW THE BUSINESS WILL OPERATE. 1'e 4 7'6, A1014�S
. P9� ft/G4� ,ft-4L9/UC,F7�uE.�.P L4S/FCX,t4c2�rC -- 5rE � s� E�-cli s'T�TE/�'1 EN11.5
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED - SEGF
SQUARE FOOTAGE OF USABLE FLOOR EA IN
HOUSE ( EXCLUDE GARAGE) d3oo V (4JAMP�3 z
• LOCATION AND SQUARE FOOTAGE OF .AREA OF _ O
BUSINESS ACTIVITY IN HOME (EXAMPLE,. OCT 2 91992 -3
"BEDROOM - 125 S.F.") oFF/GE 102o 4
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIE 1 .z
BUSINESS OPERATION 60MR0715,le-
�-A11�79T .P
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
1/
/a d 9 -
61APPLI-CANTANT SIGNATURE 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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Build.ing and Safety Department
APPROVED BY DATE CONDITIONS ATTACHED _
DENIED BY_v+ DATE