Early (2)CITY OF LA QUINTA
HOME OCCUPATION APPLICATION
L,a Quinta, CA 92253
(619) 564-2246
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 &V Ls �6IL' PHONE
PROPERTY OWNER Qr)1Vx-a V� �o8'X PHONE
ZA 411AXPROPERTY ADDRESS �3�� lN�
TYPE OF RESIDENCE (s'ngle, ltiple, mobile home, etc.)
TYPE OF BUSINESS wl L�
BRIEF DESCRIPION OF HOW THE BUSINESS WILL OPERATE K e,
A ,,
NUMBER OF PERSONS INVOLVED IN BUSI ESS ,
LIST NAMES OF PERSONS EMPLOYED. �D C
SQUARE FOOTAGE OF USABLE F O tREA IN
HOUSE (EXCLUDE GARAGE)
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY INH ME (EXAMPLE
"BEDROOM - 125 S.F.")
f A Kut n1 - u
VALUSO.W STAMP .
CRYOFLA QUINTA
MAR 2 3 1993
BUILDING AND SAFETY nFar
DESCRIPTION OF MACHIN Y, EQUIPMENT, AND SUPPLIBS USED IN THE
BUSINESS OPERATION
I HAVX READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCU TION IS ALLOWED (CONDITIONS ATTACHED).
AP ICANT SI-GNA61JRE 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.
BuiL4ing and SafetyDe artment
APPROVED BY %/ DATE
DENIED BY DATE
CONDITIONS ATTACHED
I VIII' VIII IIII IIII
22
r
I IIII" IIII IIII IIII
35
CITY OF LA QUINTA
HOME OCCUPATION APPLICATION
78-105 Calle Estado
P.O. Box 1504
La Quinta, CA 92253
(619) 564-2246
011.E &9/
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 AP ZS IJ6744,dlej0 PHONE � (ol,5J
i
PROPERTY OWNER� � ee- - PHONE
PROPERTY ADDRESS
TYPE OF RESIDENCE (s'nglDDe,
TYPE OF BUSINESS (�
ltiple, mobile home, etc.) e �i
)C,I L.DM,
BRIEF DESCRII.TION OF HOW THE BUSINESS WILL OPERATE S
I. Ttt a? H, jAX—kJ141AZ,
NUMBER OF PERSONS INVOLVED IN
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FMW
EA IN
HOUSE (EXCLUDE GARAGE)
• LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME -.
,ME (EXAMPLE,
"BEDROOM - 125 S . Fa. " ) T�tPX,0 rn - / a&
VALtP11G=W STAMP.
CITY OF LA QUINTA
MAR 2 3.1993
AND SAFFTV ncnT
DESCRIPTION OF MACHIN�T�Y, EQUIPMENT, AND SUPPLIES kW USED TIT THE
BUSINESS OPERATION C':c�7ln✓�u
I HAVX READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUTION IS ALLOWED (CONDITIONS ATTACHED).
ICANT SIGNAPURE 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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•Buildinq and Safety De artment
APPROVED BY DATE CONDITIONS ATTACHED
DENIED BY DATE