MORALESCITY OF LA GUINTA 76-106 Call* Eatad
P.O. Box 1601
HOME OCCUPATION PERMIT Le QuInla, CA 92i
? (619)661-2216
APPLICATION
Read each condition listed on tt.e attachment to this form to see if the
proposed activity can comply with the City's Home Occupation Regulations.
(TYPE OR PRINT IN INK)
APPLICANT'S NAME �1l � 144- �G�.S PHONE S11W-564V
PROPERTY OWNER p PHONE
PROPERTY ADDRESS S �2 S _
TYPE OF RESIDENCE (single, multiple, mobile home, etc.)
TYPE OF BUSINESS
BRIEF DESeTlPTIIOO>N fH�sTHE BUSINESS WILL OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS 546Fe-
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN VfIT of.Q(j d
HOUSE (EXCLUDE GARAGE)�Df%I� VALIDATION"STAMP
LOCATION AND SQUARE FOOTAGE OF AREA OF JUL 16 Ift9i
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BED DOM - 125 SQUARE FEET")
• �LlTyr/!��
DESCRIPTION OF MACHINERY, EQUIPMENT AND SUPPL ES BEING USED IN THE BUSINESS
OPERATION G/�G(//I/1!? �!?/� w�Ev E•�� ��®
1' 16-77-4:
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION 1S ALLOWED (CONDITIONS ATTACHED).
•1
IGNA
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED.
OWNER!AG
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.
8UI NG & SAFETY DEPAR
APPROVED BY 4 DATE I )' CONDITIONS ATTACHED .
DENTED BY DATE
1 11111111111111111111