LANGFORDFEE $35.00
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CITY OF LA QUINTA
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CITYOF LA QUIMTA
78-495 Calle Tampico, P. O.Box 1504, La QuinttmC4 39
Sul D SAFETY DST.
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 Wft t0okK6 -�_ 11?OkE PHONE 564/-615-9
PROPERTY OWNER U 77f A-NGF6/2,0 PHONE to q- V6S
PROPERTY ADDRESS 5,3310 AUE, AAIW)?,�
MAILING ADDRESS c E
TYPE OF RESIDENCE (single, multiple, mobil home, etc.) 51w/- F
TYPE OF BUSINESS LU/�oLE ,SLE &xJ4F•4LTGC,C1AJG e P f}yez_ S
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAME OF PERSONS EMPLOYED Al
• SQUARE FOOTAGE OF USABLE FLOOR AREA
IN HOUSE (EXCLUDE GARAGE) 4_�Lp S,F.
LOCATION AND SQUARE FOOTAGE OF AREA
OF BUSINESS ACTIVITY IN HOME Hl-rGH-L1v
( EXAMPLE , "BEDROOM -125 S.F.") 01.4j1A)a A• &-9
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES B ING USED IN THE
BUSINESS OPERATION 4 Lh5L7_12/L� 1Sm t/ �, M DU./21NG P.0
GUf3X •
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A
HOME ,OCCUPATION IS ,AJ�LOWEQ . (CONDITIONS ATTACHED) .
IF APPLICANT IS -OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER
OR A 9NT IS REQUIRED.
OWNE /A NT TUBE r: DATE
IMPORTANT: FALSE ®lit MISLEADING ;k1fORMATION SHALL BE GROUNDS FOR
DEI4Y,ING YOUR HOME- OCCUPATION; FAILURE TO COMPLY WYTH CONDITIONS
LISTED ON THE ATTACHED PAGE SHALL BE GROUNDS FOR .REVOCATION OF
PERMIT.
Bu 1 -n--and Safety Department
APPROVED DENIED CONDITIONS ATTACHED