BARBERP.O. Box 1504
La Quinta, CA 92253
4° CITY OF LA QUINTA (619).564-2246
r � I I"II"IIII II'I II'I
of T%tt%- HOME OCCUPATION APPLICATION 64
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.
APPLICANT'S NAMER k22 PHONE 6 l U-3
PROPERTY OWNER PHONE
PROPERTY ADDRESS i
TYPE OF RESIDENCE Ingle multiple, mobile1 home, etc.)
TYPE OF BUSINESS 5
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN By
HOUSE ( EXCLUDE GARAGE) l'Sv%D Vq IIRA ,
• LOCATION AND SQUARE FOOTAGE OF AREA OF OCT 2-9 1993
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BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 S.F.")
DESCRIPTION OF MACHINEP#, EQUIPMENT. AND SUPPLIES
BUSINESS OPERATIONo
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
APPLICANT SIGNATURE DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED.
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 De ar ent-
_L.Z/APPROVED BY4. �D ATE �'�`� CONDITIONS ATTACHED
DENIED • BY DATE