BERG0
73
HOME OCCUPATION PERMIT
APPLICATION
'CITY OF "QUIN
1O-105 calls Itet•dg
P.O. Box 1304
La Qulah,CA.>lttt
,(619) 964-1846
664-2246 PLANNING DIVI6/07
lead each condition listed on the reverside side of this form to see
the proposed activity can comply with the City's Home occupation
Regulations. $35.00 fee
RECEIVED
TYPE OR PRINT IN INK
J U L - 6 1989
APPLICANT'S NAME
i IS
PHONE
CITY OF LA Q'UINTA
PROPEERRTY TY ADDDOWNREESs
z
_9
PHONE
PLANNING &DEVELOPMENT DEPT.
,A!
tree
2
(City)
I (State) (Zip)
Type of residence
(Single, Multiple, mobile home,
`l
etc.)
Type of business
WY-) CQ ' y meq- 2V--
•
•
Brief description of how the ^business will operate, t n+p 1rg__,G o_g!�A
Humber of persons involved in business 'S -P
List names of persons employed VI DYl ei
Square footage -of usable floor area in
house (exclude garage) t-ak \Z 'S_;70 --
Location and square footage of area of
business activity in home (example:
bedrooms; 125 squ�rfeet)
Validaiition Stamp
005182 10
ibT�TAL ib -89 35.0010
Description of machine , equipment, and supplies being used in the
business operation Y,n . �V_ 129 V'_
I have read and understand and agree with the conditions by which a
home occupation is allowed (Conditions on reverse side).
C_� 2��� - -116 ; !-� � -
CANT IGNA DATE
If Applicant is other than property owner, authorization of owner or agent
required.
OWNER OR AGENT SIGNATURE DATE
IMPORTANT: 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.
•
"PROVED
R f f • • •
t/ APPROVED �Initials
CONDITIONS ATTACHED
DENIED .-Initials
LQHOMOCC.PRT
- 6 - 8�' Date
Date