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GUARINEO• FEE $35.00 64 /` /��7.PAID gin yo FLA dUINTA 4 APR 13 1994 B!22n!i CITY OF LA QUINTA BY 78-495 Calle Tampico, P. O.Box 1504, La Quinta, CA 92253 HOME OCCUPATION PERMIT 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. ----------------------------------------------------------------- ----------------------------------------------------------------- BUSINESS NAME PROPERTY OWNER PROPERTY ADDRESS MAILING ADDRESS TYPE OF RESIDENCE TYPE OF BUSINESS' PHONE Q 1 PHONE_ 5:(.e4 2-4 6 o multiple, mobil home, etc.) :ijl-t- N1e&v e a l RVC5 Motu, LIST NAME OF PERSONS EMPLOYED "A SQUARE FOOTAGE OF USABLE FLOOR ARE IN HOUSE (EXCLUDE GARAGE) L2a6 LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME z 2d© �y — (EXAMPLE, BEDROOM -125 S.F. )c�t�cO DESCRIPTION OF MACHINERY, EQUIPMENT, At p SUPPLIES BEING USED IN THE BUSINESS OPERATION�--e-flV 0. n- - I ( a mz)UGT'-r-r I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A H= OC CUPATJOA _IS ALLOWED (CONDITIONS ATTACHED) . , , , , -j, LICANT SIGNATURE DATE IF APPLICANT' ISS OT-H--ER,---THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT.IS.-REQUIRED. SI IMPORTANT: FALSE- OR 'MISLEADING INFORMATION' SHALL BE GROUNDS FOR' DENYING YOUR KQ.ME OCCUPATION; FAILURE TO COMPLY WITH CONDITIONS LISTED ON THE -ATTACHED PAGE SHALL BE GROUNDS FOR REVOCATION OF PERMIT Bu'1 and Safety Department l APPROVED DENIED CONDITIONS ATTACHED