CORDOVA`+ ,F Lw.� '�%Z I IIIIII VIII I'll illi/ P.O. Box 1504
1/
La Quinta, CA 92253
19 CITY OF LA QUINTA (619) 564-2246
`y OF Tylkt.`��. 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.
T=====____________=_________________________
APPLI CANT' S NAME C` �y PHONE `5 GtA —19 LA 0' .
PROPERTY OWNER PHONE
PROPERTY ADDRESS r,_('��.
TYPE OF RESIDENCE (single, multiple, mobile home, etc.)
TYPE OF BUSINESS
EF DESCRIPTION OF HOW THE BUSINESS WILL OP RATE
1! -f o , c --,,1J ..A— OV7)C41 CAA
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE ( EXCLUDE GARAGE)
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAMP�E,
"BEDROOM - 125 S . F . " ) \ 2-�S`�Y .
V
APR 2, 01993
DESCRIPTION OF MACHIN Y, EQUIPMENT, AND SUPPLIESTRE-ING USED-za
BUSINESS OPERATION
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
..
` aD /<:�
APPLICANT SIGNATURE
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.
Building and Safety Wpartment
APPROVED 2_ -DATE "1'�1 CONDITIONS ATTACHED
DENIED BY DATE