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BARKER
1 1 101111 ■SII■ ■111 111111111 'CITY OF LA QUINT 10-105 C•11. 191669 P.O. sox 1504 Le Qulntej CA. 92253 K019) $S.-1:ds 564-2246 PLANNING DIVISION 6/87 ead each condition listed on the revers e s de o this form to see f the proposed activity can comply with the City's Nome Occupation Regulations. $35.00 fee TYPE OR PRINT IN INK% j APPLICANT'S NAME /f ja4V 47,ONQ/ r4gL R141?.4��c•p PHONE w'` PROPERTY OWNER T— PHONE PROPERTY ADDRESS 67 - O A*-rn j (Street) �iN� C1A, �1ZZS3 (City) (State) (Zip) Type of residence (Single, (Multiple, mobile home, etc.)�- Type of business a 44 e- 114.4-; AEE hl A -AL e— Bri�ef description of how the businesswill open to ,JfAG7' A -i 2isz lie e- SGL . O`eg we�r,E Aer rma Number of persons involved in business . List names of persons employed 3,4-Ae hgle�' A�%�L% c,4I,1?` Square footage of usable floor area in house (exclude garage) !Ja © Validation Stamp Location and square footage of area of business activity in home (example: bedrooms; 125 square feet) No N -e� Description of machinery, equipment, and supplies being used in the business operation h<is,-4 '7'Aa Ls I have read and understand and agree with the conditions by which a home occupation is allowed (Conditions on reverse side). A� �,., e �, OPS 'a� F'40 AL 18-88 35.0013 AP LICANT SIGNATURE DATE ��aa �u�A If Applicant is other than property owner, authorisation of owner or agent required. OWNER OR AGENT SIGNATURE DATE IlMPORTANT: 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. i APPROVED Initials Date CONDITIONS ATTACHED DENIED Initials Date LQHOMOCC.PRT