O'MalleyL,
I IIIIII VIII IIII IIII 1
72
HOME OCCUPATION PERMIT
APPLICATION
CITY OF LA QUINTA
78.105 Celle EeteOo
P.O. Box 1504
e Qu)nte,GA. 92283
,-(619) $64-1246
664-2246 PLANNING DIVISION 6/87
Read each condition listed on the revers de side of this form to see if
the proposed activity can comply with the city's Home occupation �J
ZRegulations. $35.00 fee ap
TYPE OR PRINT IN INK
APPLICANT'S NAME Dennis P. 01
PROPERTY OWNER Max Si PfkPr
PROPERTY ADDRESS 54-881 A v P n i
La Quints, rA 9225'
(City) (State) (Zip)
•FA
Type of residence (Single, Multiple, mobile home, etc.) S F D
Type of business Computer Consultino
Brief description of how the business Will operate r e g i rl a n t rpr-pix/es
u P S Shipped packages at residence the material is fnr
resa ee;- ej�n ts dene at their
Number of persons involved in business _J,_ (place of bus.
• List names of persons employed n n n a
Square footage of usable floor area in
house (exclude garage) J A Q Q Validation Stamp
Location and square footage of area of
business activity in home (example: 005182 10 0829 06-30-88 13
bedrooms; 125 square feet) 10 CASH i TOTAL i 35.00
i,eitrhPn tah1P anri hedroom 30Sa_Ft
Description of machinery, equipment, and supplies being used in the
business operation Marintnch C'nm �,n ter, printer, modem
I have read and understand and agree with the conditions by which a
homeation is allowed (Conditions on reverse side).
LICANT SIGNATURE D�►'I'E
If Applicant is other tha rope owner, authorization of owner or agent
required.
-�2.O,
OWNER OR IG7rmisleading
DATE
IMPORTANT: False 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.
f �f f f f
'0"
0 APPROVED initials CO ro'� Date
CONDITIONS A HED
DENIED Initials Date
LQHOMOCC.PRT