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CITY OF LA QUINTA
HOME OCCUPATION APPLICATION
78-105 Calle Estado
P.O: Box 1504
La Quinta, CA 92253
(619) 564-2246
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 .En ri ue � • C. orTiYt�________________________
PH0N](6LC4 S L y -/S/ 3
PROPERTY OWNER PHONE.
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PROPERTY ADDRESS
TYPE OF RESIDENCE (single, -multiple, mobile home, etc.)
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TYPE OF BUSINESSIr C -f v 11
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BRIEF DESCRIPTION OF HOW THE BUSINESS
_.l u WILL OPERATE -L-)l
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR A&EA N
HOUSE (.EXCLUDE GARAGE) e
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAMPLE, -
"BEDROOM - 125 S.F.")
OCT 1.91992
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DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIE58�
BUSINESS OPERATION ��((,,�� O Ln "I -t_ / _
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED.
SI
IMPORTANT: False or misleading information shall be
grounds
your Home Occupation; failure to comply with conditions listedoondtheing
attached page shall be grounds for revocation of permit.
Building and Safety Department
APPROVED BY DATE
DENIED BY DATE
CONDITIONS ATTACHED
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