OGBURN"L°�=���- I111111IIIIIIIIIIIII P.O.vBox �1504LJ"'u"
�^ �= 43 La Quinta, CA 92253
- - -J (619) 5.64-2246
CITY OF LA QUINTA
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.
APPLICANT'S NAME ))/i -U) �u (�Cs= u2� PHONE 60
PROPERTY OWNER �,4V U G�3L( A'j PHONE Sim
PROPERTY ADDRESS -5'a-1Q5 A116 �nI hi�nL `z
TYPE OF RESIDENCE (single, multiple, mobile home, etc.) S5 A)6-LC-
TYPE OF BUSINESS S W l Yr) h-7 )L 6 601% -P Z
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED 7'1111 J S OG-1 Un /U S 0
SQUARE FOOTAGE OF USABLE FLOOR AREA IN PAID .00
HOUSE (EXCLUDE GARAGE) %'l% U OSA STAMP
LOCATION AND SQUARE FOOTAGE OF AREA OF AUG, 1 ;_ 1993 /:U 272 P
BUSINESS ACTIVITY IN HOME (_EXAMPLE,
"BEDROOM - 125 S.F.") �s a gWL(lWa AW SN:EW DEPT.
6Y__
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPVLIE BEING USED IN E
BUSINESS OPTRATION L l n1 G L/ !,1 �` �n
i"1L12A7? r- i9-tf-) -
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
APPLICANT SI
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGEN-
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.
Buil ipa and SafetV T"Apartment
APPROVED* B ��DATE CONDITIONS ATTACHED
DENIED BY DATE