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14
HOME OCCUPATION PERMIT
APPLICATION
CITY Of LA QUINTA
79-105 Calls t.todo
P.O. BOX 1804
Lo ou)ntoAA. 92283
(619) $64-2246
664-2246 PLANNING DIVISION 6/87
Read each condition listed on the revercide side of this form to see if
the proposed activity can comply with the City's Home Occupation
Regulations. $35.00 fee I
TYPE OR PRINT IN INK O i. ++'' ,/ APPLICANT'S NAME V ( Ic W A H N PHONE 5(9 4= 61)Cj'5
PROPERTY OWNER b A 03 In PHONE
PROPERTY ADDRESS !SS Lo P NiA1/ A FXF—
(Street)
A 4 u l nr-13- _
(City) (State) (Zip)
Type of residence ingle, ultiple, mobile home, etc.)
Type of business 6Ai'f)AJ✓i
Brief description of how the business will operate U IOF- e- (A] WCS Mj;-S
i )L) j N Dj As" to TC -t _" - - -
Number of persons involved in business
List names of persons employed
Square footage of usable f oor area in
house (exclude garage) Validation Stamp
Location and square footage of area of 1Q p 3 p i
business activity in home (example: ?8518" 1 i1TOTAL ib -88 35.g013
bedrooms; 125 square feet)
DtSK W Room 1��t1� lG0
Description of machinery, equipment, and supplies being used in the
busi ess operation
o be
I have read and understand and agree with the conditions by which a
home occupation is allowed (Conditions on reverse side).
k -l-72
, /V C/•/� -9r1
APPLI SIGNATURE DATE
If Applicant is other than property owner, authorisation 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.
R R R R R R R R R f R R R
v APPROVED f' Initials �Y Date
CONDITIONS ATTWCHED
DENIED Initials Date
LQHOMOCC.PRT