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44
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E'iy' °�'' 1�W Quinfw
CITY OF LA QUINTA
PAID $35.00
CITY OF LA QUINTA
JAN 0 '1994
8Y UILDING D SAFETY DEPT.
(�� t/-7—,
78-495 Calle Tampico, P. O.Box 1504, La Quinta, CA 92253
HOME OCCUPATION PERMIT
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.
-------------=j==
BUSINESS NAMCr c,Q i1CZ(�`�` ,4I PHONE
PROPERTY OWNER PHONE Seo -//z- 7
PROPERTY ADDRESS
MAILING ADDRESS !!5-2-5-6r, S-6cs 44),4, Z_
TYPE OF RESIDENCE Isingle, multie, mobil home, etc.)
TYPE OF BUSINESS CC .� �� Pzz6 / S.FArvl'cES 1-1
BRIEF DESCRIPTION OF HOW TUE-BUSINESS WILL OPERATE
NUMBER OF ERSONS INVOLVED IN BUSINESS Z -
LIST NAME OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA
IN HOUSE (EXCLUDE GARAGE)
LOCATION AND SQUARE FOOTAGE OF AREA
OF BUSINESS ACTIVITY IN HOME
(EXAMPLE, 1113EDROOM-125 S.F.")
DESCRIPTION OF MACHINERY, EQUIP ENT, AND SUPPJ.4,IES BEING USED IN THE
BUSINESS OPER�T ON i�`J� o�t/��G/�'!✓,GII'`�%t.,or�✓/C
Ile
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A
HOMEOCCUPATIO I`.�I�,LO ED CONDITIONS ATTACHED) s�
r
ANT SIGNATURE DATE
IF APPLICANT
OR ��A��GENT IS
t1U..��
IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER
REQUIRED. /
R/AGIENT S
Z -A2 g ,�4
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.
Build and Safety Department
AR LVED DENIED CONDITIONS ATTACHED