DOWNING•
•
�J
CITY OF LAQUINTA
78-I05 Celle E®te.e
►.0. BOX 1504
Le Ou1ntaAA. 92253
K(619)564-1246
664-2246
PLANNING DIVISION
l
Read each condition listed on the severs de side o
this
form t• see f
the proposed
activity can comply with the City•s Home Occupation
Regulations.
TYPE OR PRINT IN INK
APPLICANT'S NAME
PROPERTY OWNER_j
PROPERTY ADDRESS
Type of residence (Single, Multiple, mobile home, etc.)
t l
Type of business (7eil I �Lf11is 1P�t�' t�P vib I
Brief description of how�he�business will operate XV,*
Number of persons involved in mebusines 1
List names of persons employed
Square footage of usableloor re i
house (exclude garage)
Location and square footage of area of
business activity in home (example
bedrooms; 125 square feet) /_
Description of machinery, equ Anent,
busigefs operation . �f'POVW.
Validation -Stamp
supplies.being used in the
I have read and understand, and agree with the conditions by which a
home oc upation is allowed (Conditions on reverse side).
APPL T SIGMA DATE
If Applicant is other than property owner, authorization of owner or agent
required.
OWNER OR AGENT SIGNATURE DATE
IMPORTANT; False or misleading information shall be grounds for denying
your Home Occupation, or failure to comply with conditions listed on
reverse shall be grounds for revocation of permit.
f • • f f f f f • • f • f
APPROVED Initials
CONDITIONS ATTACHED
DENIED Initials
LQHOMOCC.PRT
Date
Date
I IIIIII VIII IIII IIII
38