DAVISU
ijz A ain&
4 4 Q11
CITY OF LA QUINTA
78-495 Calle Tampico, P. O.Box 1504, La Quinta, CA 92253
HOME OCCUPATION PERMIT
65
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 IJGIVI S 1?>1Si1nP51, PHONE (&t�) 51oLI'f %I Z
PROPERTY OWNER 4cran I-_ �,u. A Xuu.ue M -:2u -S PHONE
PROPERTY ADDRESS 54ZC1,0 A-i1e_ G 6Au eZr.c„ua- 1-ck- QD n+7L
MAILING ADDRESS
TYPE OF RESIDENCE Ingle, multiple, mobil home, etc.)
TYPE OF BUSINESS sec c.e,
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
�C�✓yi .e
of
F
NUMBER OF PERSONS INVOLVED IN BUSINESS r(
LIST NAME OF PERSONS EMPLOYED w� (X s PAID
SQUARE FOOTAGE OF USABLE FLOOR AREA C
IN HOUSE ( EXCLUDE GARAGE) 1`1 Z-7
Nov 1983
0
LOCATION AND SQUARE FOOTAGE OF AREA
OF BUSINESS ACTIVITY IN HOME I DING AND SAFETY DEPT-
OF
EXAMPLE, "BEDROOM -125 S.F.")
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE
BUSINESS OPERATION AtA M n,�e, � S�e� i V, (!_ --)
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A
HOME OCCUFATION ALLOWED (CONDITIONS ATTACHED).
17/7
ICANT SIGNATURE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER
OR AGENT IS 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.
Buildin _and Safety Department
APP.DYED" DENIED CONDITIONS ATTACHED