None Listedr
FEE
42
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4��P-S $35.
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CITY OF LA QUINTA O
78-495 Calle Tampico, P. O.Box 1504, La Quinta, CA 2253
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.
BUSINESS NAME `4iaMArL)l A7r A0bS&- Cb E:AN11V(oPHONE (olw
PROPERTY OWNER PHONE S4&14 -
PROPERTY ADDRESS 5W7,0 AUrCluIM QZ()e;M LA 6X -)j&-4&0
MAILING ADDRESS Sorylr /}S A?npVt-
TYPE OF RESIDENCE (single, multiple, mobil home, etc.)
TYPE OF BUSINESS W(r)(-)<G Cb_(_C-"A tJTAA- (-,
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
T- 120hn V Wc6ne=-- :4A1QC.6 To r_Lf%FkYr5_ WOMiS ?"O GLeA,t j
NUMBER OF PERSONS INVOLVED IN BUSINESS .�
LIST NAME OF PERSONS EMPLOYED tj0 &/e
SQUARE FOOTAGE OF USABLE FLOOR A FA
IN HOUSE ( EXCLUDE GARAGE) JL® ;
LOCATION AND SQUARE FOOTAGE OF AREA
OF BUSINESS ACTIVITY IN HOME ',og S F 00 2 1994
(EXAMPLE, BEDROOM -125 S.F. )
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES EI G,, SED .N-`PHZ
BUSINESS OPERATION C L l� A N I kAC Su P1�L1'ES. �k<DD-U
I HAVE READ UNDERSTAN , AND AGREE WITH THE CONDITIONS BY WHICH A
HOME OCCON IS' OWED (CONDITIONS ATTACHED).
IF APPLICANT IS OTHER
OR AGENT IS REQUIRF,r-
OWNER/
::fir
IGNATURE
ON OF OWNER
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.
Buildnu and Safety Department
APPROV_F.D. DENIED': CONDITIONS ATTACHED
s e.
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