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SEAVER�� `� CITY OF LA OUINTA _ 78 -105 -Celle Estado P.O. Box 1504 �0''' rt. HOME OCCUPATION PERMIT le Oulnta. CA 9225: �� / 9)664-2248 ycot APPLICATION(d Read each condition proposed activity listed on the attachment to this form can comply with the City's Home Occupation Regulations. to see if the --------------------------- (TYPE OR PRINT IN INK) \ � I �- � `t \ R +� S. -IA PHONE APPLICANT'S NAME t PROPERTY OWNER / 1,f h� �� PHONE J f 9- 9l0 7 PROPERTY ADDRESS - V� © 1"4 t 6 TYPE OF RESIDENCE (single,`, multiple, mobile hom , etc.) �]r TYPE OF BUSINESS BRIEF DESCRIPTIO OF HOW THE BUSINESS WILL OPE �[!// /T-P� -r NUMBER OF PERSONS INVOLVED IN VS114ESS J LIST NAMES OF PERSONS EMPLOYED SQUARE FOOTAGE OF USABLE_ FLOOR AREA IN �y NWATAMP HOUSE (EXCLUDE GARAGE) e/ CItT O LOCATION AND SQUARE FOOTAGE OF AREA BUSINESS ACTIVITY IN HOME (EXAMPLE, JUN 7 1991' "BEDROOM - 125 SQUARE FEET") • DESCRIPTION,/ OF MACHI E Y, EQUIPMENT,QfAND IES-BEIP�'OS " r %E BUSS OP E,6tAT,I ON V & (l // 1'`S /-s I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME OCCUPATION IS ALLOWED (CONDITIONS ATTACHED). LICANT SIGNATURE DATE ,F APPLICANT OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT REQUIRED. I a �r tip) - s 7 ! OWNE /AGENT SI NATURE 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. BUILDIXG i SAFETY DEPAR 41" J&J APPROVED B � S t DATE �9 / CONDITIONS ATTACHED DENIED BY DATE • Hi. I ��III �II'I IIII IIII 08 1