The URL can be used to link to this page

ALLEN (2)s PAI® 31 T4ht MAR 0 4 1997 Cv cv CITY OF LA O[JI STA 78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) 777-7050 FAX (619) 777-7011 APPLICATION FOR Fee $35.00 HOME,,OCCUPATION OF A BUSINESS Read each condition listed on the attachment to this form to see if the proposed activity complies with the City's Home Occupation Regulations. APPLI,CANT NA_MES (List all pwners,. partners and/or corporation officers) r PROPERTY ADDRESS BUSINESS NAME PROPERTY OWNER l lalr / • MAILING ADDRESS (if different from business address)�"1'� PHONE % _7l`D�-3 TYPE OF RESIDENCE (single, multiple, mobile home, etc.) 5/nC_"X_- l�cjP21 IYV TYPE OF BUSINESS / "ISS SGl BRIEF QESCRIPTII N OF HOW THE BUSINESS WILL OPEATE -� 1A1111 10r— In 0r v1 T © 7f`v NUMBER OF PERSONSJNVOl V:ED;.IN BIJAS-fNESS LIST NAMES -OF. PERSONS EMP:PLQYED. /y®n- SQUARE FOOTAGE OF.USABLE.FLOOR AREA IN HOUSE (exclude garage) /Sov LOCATION AND SQUARE FOOTA_ GE'OF AREA OF BUSINESS ACTIVITY IN HOME (example, "bedroom - 125`sq. Ft.) o20 •' DESCRIPTI01� OF MACHINERY, -EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS OPERATION; I SS_T 1, �� 6Y1 MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 ;.Jpl-;:. I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME -DCCUPATIO N IS ALLOWED (conditions attached). J _U L Date Applicant's Signature • IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR RENTAL/LEASING AGENT IS REQUIRED. Owner/Agent Signature Agent Company Name Date Date Agent/Owner Contact Phone # IMPORTANT: FALSE OR MISLEADING INFORMATION SHALL BE GROUNDS FOR DENYING YOUR HOME OCCUPATION; FAILURE TO COMPLY WITH THE CONDITIONS LISTED ON THE ATTACHED PAGE SHALL BE GROUNDS FOR REVOCATION OF PERMIT. BUILDING & SAFETY DEPARTMENT/CODE COMPLIANCE DIVISION APPROVED DENIED SPECIAL CONDITIONS ATTACHED BY: Ail, I. D. # Z-- DATEIli 3 �� countera