COIAP.O. Box 1504
La Quinta, CA 92253
CITY OF LA QUINTA (619) 564-2246
HOME OCCUPATION APPLICATION II"I'lllllllllll"I
55
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 5bae lon Co 1,4 PHONE S/S�'
PROPERTY OWNER 44xg v c( S ha r-rom Co i r� PHONE 5-6 V--6 YS-�f-
PROPERTY ADDRESS
TYPE OF RESIDENCE (single, multiple, mobile home, etc.) S
TYPE OF BUSINESS llom e SC cre--fa 1,1 S -e rV1 C c
t
BRIEF DESCRIPTION OF, HOW THE BUSINESS WILL OPERATE ea
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYEDlhTf:e
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) 3
• LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 S.F.") /!o 5�-�-f
DESCRIPTION OF MACHINERY,
BUSINESS OPERATION Poi A.
VALIMAIMIOTAMP.
CRY OF LA OUINTA
APR 0 9 1993
AND SAFETY DEPT
AND SUPPLIESUIRFTN�ED IN THE
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
0
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.
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Buildina and Safety De enter
APPROVED BY DATE '/ CONDITIONS ATTACHED
DENIED BY DATE