KleineLAC vUillLa, l.A y1253
CITY OF LA QUINTA (619) 564-2246
HOME OCCUPATION APPLICATION IIIIIIIIIIIII'llI'll
y�rn+t` os
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 P�- PHONE S'
PROPERTY OWNER ' PHONE
PROPERTY ADDRESS �b ( Q l f? )6--1'9,A /) A
TYPE OF RESIDENCE 1,rsingl , multiple, mobile home, etc.)
TYPE OF BUSINESS
N
EF DTSCRIPTION OF.HOW THE BUSINPSr-c ,WILL OPERATE C -
NUMBER OF,PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED C-��__
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) V ,$,TAMP
LOCATION AND SQUARE FOOTAGE OF.AREA OF �ry�A
BUSINESS ACTIVITY IN HO(EXAMPLEFEB O 41993
• "BEDROOM - 125 S.F.") ,
WON SMITO
DESCRIPTION OF MACHINERY, E U�J MENT, AND SUPPLIEF'SEI`NO ;,;,;E,D iii ,
BUSINESS OPERATION • TY A&- - n
I HAVE READ, UNDERSTAND, AND AGREE WITH. THE CONDITIONS BY WHICH A HOME
OCCUPATI. X,:� , ALLnWRn ( fnwnTTTnuc air �u�r
.-.a i Li %.CLL\ 1 .71 W"^.L V Rz DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED.
OWNER/AGENT SIGNATURE DATE
=MPO �n1i7: 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 Department
f
�<,APPROVEDy
DATE
DENIED BY DATE
—CONDITIONS ATTACHED
rAQY C 9:w SriggCIT/ 0�