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•
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CITY OF LA OUINTA
78-105 Collo Estedo
P.O. 80X 1304
Le Qutnto,CA.92233
&-(1919) 3194-2249
564-2246 PLANNING DIVISION b187
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. � /
TYPE OR PRINT IN INK
APPLICANT' S NAME t"k46tiO 4 - A i rn rh thic/r-2PHONE 56 y - Z4q q
PROPERTY OWNER it o PHONE
PROPERTY ADDRESS 74-1,70 Miiviid.- t-rvr-<
(City
ate) (2
RECovw
Type of residence (Single, Multiple, mobile home, etc.)N u 0 1990
Type of business
Brief description of how the business will
(.1) y UE LA QUINTA
operate, -P41I PIn i� , EU_Fh1ENT DEPT.
Number of persons involved in business -}tom
• List names of persons employed ilh►'\-L
Square footage of usable floor area in
house (exclude garage) 6T) ValidationStamp
p i
square g 1 0518N i 1M RI1 -i 5-90 35.00 SO
Location ands are footage of area of
business activity in home (example:
bedrooms; 125 square feet)
30Lim:) 14 /Q1�yg
Description of machinery, equipment, and supplies being used in the
business operation -,r,ch;,rjS 1 , brio_ ,1-V J tiAd St2C,,- Lu_
I have read and understand and agree with the conditions by which a
horse occupation 's allowed (Conditions on reverse side).
G' l
'KPPLI
CANT SIGNATURE 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 S� Initials C7 Date
CONDITIONS A71HED
DENIED tel- Initials x'10 Date
LQHOMOCC.PRT