TODD•
'CITY Of LA QUINT
10-105 Celle tsfaff
P.O. sox 1504
L• OYIntootA. 02253
ow ft's -114•
564-2246 PLANNING DIVISION 6/e7
Fe -ad each condition listed on the reverside side of this form to see If
the proposed activity can comply with the City's Mom Occupation
Regulations. $35.00 fee
PE OR PRINT IN INK
APPLICANT'S NAME rani r•a T. Tnrlri PHONE SF,4_042R
PROPERTY OWNER5
PHONE 6a _ n a ? R
PROPERTY ADDRESS 1- F SO A v a n i r9 a R n h i n
RECE1VCJeeti
Istr
La Ouinta CAA
9225
(City) (State) (Zip)
AUG 2 9 10 Type of residence (Single, Multiple, mobile home, etc. ) Single
CITY OF LA QUINTAL of business Secretarial Service
PLANNING & DEVELOPMENT DEP3)rief description of how the business will operate wi 1 1 adyt-rt i cP
S
g -neral
�sofW�o�tinYo4�� lAll'bu�A9�s
•
C�
List names of persons employed NONF.
Square footage of usable floor area in
house (exclude garage) � Validation Stamp
Location and square footage of -ate of
business activity in home (example:
4e r 125 square feet)
Description of machinery, equipment, and supplies being used in the
business operation Qff
su pl i og
I have read and understand and agree with the conditions by which a
home occupation is allowed (Conditions on reverse side).
J.O 10 Y? AE iia 0 35.00
APIBLICANT SIGNATURE DATE
If Applicant Is other than property owner, authorisation 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 Initials
CONDITIONS ATTACHED
DENIED Initials
LQHOMOCC.PRT
g-29 - 88 Date
Date