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CITY OF LA QUINTA
78-495 Calle Tampico, P. O.Box 1504, La Quinta, CA 9=2=2-53 a
DO HOME OCCUPATION PERMIT NOV0O 1993
Read each condition listed on the attachment to this form t"o see if
the proposed activity can comply with the City's Home Occupatinnn.
Regulations.
BUSINESS NAME ler4 C'111:iqfiltj PHONE �1 {�V
PROPERTY OWNER T IIG,Tr��4 R PHONE
PROPERTY ADDRESS P_
MAILING ADDRESS O -e J U ►%U1 ✓1_ �
TYPE OF RESIDENCEQ(.singl.el, multiple, mobil �ome, Itc .
TYPE OF BUSINESS r I�,6tk1 i Yt G- 14VI i 0r ) 14
BRIEF DESCRIPTION OF HOW THE BIFSINESS WILL OPERATE _
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAME OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA
IN HOUSE (EXCLUDE GARAGE)umC/ //300
LOCATION AND SQUARE FOOTAGE OF AREA
OF BUSINESS ACTIVITY IN HOME
(EXAMPLE, "BEDROOM -12 5 S.F.") Cj r 6t-" �� � � y
DESCRIPTION OF MACHINERY,
BUSINESS OPERATION
0 SUPPLIES BEING USED IIS ,THE
dAf, M LOa I7 i X16 e (A .p i?" 1 e S,
I HAVE READ, UNDERSTAND, AND AGREE W�TH THE CONDITIONS BY WHICH A
HOME OCCUPATION IS ALLOW (CONDITIONS ATTACHED).
� .✓sCP 470 3 q 3
APPLICANT SIGNATURE DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER
OR AGENT IS 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.
B and Safety Department
-APPROVED, DENIED
CONDITIONS ATTACHED