PICKAVANCE04
' - �c I IIIIII VIII IIII IIII P.O. Box 15 C
�,�:•;,' � � La Quinta, CA 92253
21 CITY OF LA QUINTA (619) 564-2246
r`y Of lt,f HOME OCCUPATION APPLICATION
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.
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APPLICANT'S NAME T} i PHONE 5&4-- 262-S
PROPERTY OWNER S-7AIl E
PHONE
PROPERTY ADDRESS E51635 AVE • DgR)F6,
00
; LA O -At I N'fA
TYPE OF RESIDENCE (single, multiple, mobile
home,
etc.) tsI&16t
TYPE OF BUSINESS 07F M-CMIE
FLA2N 1 S1-W6S � SZfU 1'TI?
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL
9PERATE
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PC- -S l C
2
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ORa7EIR
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-"I-- M0 STOIZA6G
NUMBER OF PERSONS INVOLVED IN BUSINESS
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t N VD L V Eb
LIST NAMES OF PERSONS EMPLOYED NJ A -
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE ( EXCLUDE GARAGE)
A ST, MP
• LOCATION AND SQUARE FOOTAGE OF AREA OF
AUG
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 S.F. ") D r ►� n1 c-, eco
PSIS gy
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLM
E
BUSINESS OPERATION CO MPU77EP- TEL—G7P
1+c -0G
F VL`mwE PUeC—F A<SF
F2k>(-
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWEDGONDITIONS ATTACHED).
m
APPLICANT SI
DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED. 1
`v G74—
OWNER/AGENT SIGNATURE 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.
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Building and Safety D a tment
_4ZAPPROVED BY ATE CONDITIONS ATTACHED
DENIED BY DATE