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FINANCE
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P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
(760) 777-7000
FAX (760) 777-7101
APPLICATION FOR HOME OCCUPATION OF A BUSINESS
FEE $70.00 INSPECTION DATE: —2 o
Please read each condition listed on the attachment in this packet to see if the proposed
activity complies with the City's Home Occupation Regulations.
APPLICANT NAMES: (List all owners, partners, and/or corporation officers Dus• IVA"2: f 1,% Q 0Am0 fo'.A^,t
o w� c (.�� "1 V R A �5��"NF ��•4%5 A Pw #..-ra s K. s h
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PROPERTY ADDRESS: !(.10/0-yA4 /e N e d* -M A t-ttivea pHONE: �Z o 1
MAILING ADDRESS:A 1A� p (IF DIFFERENT FROM ABOVE)
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PROPERTY OWNER: i�►R e N 4oG V6 if�,z IL A4
TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.):
TYPE OF BUSINESS:.A�OrPr-k/L Rdm'& .Y� N&Y 'i".CCh &0009 It S
BRIEF DESCRIPTION OF HOW THE BUSHINESS WILL OPERATE:- ;. . 460 _ O21%1i-t 2
P r`n.�.+,iwl l"d r� � r`E 1J1.1 A►+-� r� 11i � ILK N 4� Gy1 R iG 1 I+ �
NUMBER OF PERSONS INVOLVED IN BUSINESS: �-•
SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): I. -A- `o
LOCATION AND
125 SQ FT.): og
ARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EX. BEDROOM -
DESCRIPTION OF MACHINERY EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS
OPERATION: &GL,a.'i-&a 'r- •Lr A w D
"P
Q's r PC
I HAVE , UNDE. AGREE WITH THE CONDITIONS BY WHICH A
H OCCUP IO O (CONDITIONS ATTACHED). /moi
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APPLICANT'S SIG TURES DATE
IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR
RENTAL/LEASING AGENT IS REQUIRED.
CODE COMPLIANCE DIVISION
�IOIIE UPA`TION APPROVED
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