NORQUIST•
II'lllVIII "II I"I
P.O.-Box a1504iie �staao
�v 30 La Quinta, CA 92253
CITY OF LA QUINTA (619) 564-2246
HOME OCCUPATION APPLICATION
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.
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APPLICANT' S NAME C7.E� 410 IC_ ZVOR(,?W' PHONE / T
PROPERTY OWNER AO�Aer S. !rp,4e?wa7- PHONE
PROPERTY ADDRESS .S3 -01,o5 14VAAII9R IC��rf3<i
TYPE OF RESIDENCE ,('single,) multiple, mobile home, etc.)
TYPE OF BUSINESS L�zD.2aC
CRIPTIO[�N OF HOW THE BUSINESS WILL OPERATE
r U.PL�a2ii
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN PAID $35.00
HOUSE (EXCLUDE GARAGE) /BSO S6 �rr VA ON STAMP.
• LOCATION AND SQUARE FOOTAGE OF .AREA OF OCT 1.3 1992
BUSINESS ACTIVITY IN HOME E (EXAMP rQ r/
it - 12 5 S.F.") lzi-Vi:�G 2,9^. A-dp�r BUILDING AND N DAY
DESCRIPTION OF MACHINERY, EQUIPMENT _AND SUPPLIES BEING USED IN THE
BUSINESS OPERATION - T_e.EP.i
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
p
d� 49-/3
APP C rATURE DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER,
REQUIRED.
AUTHORIZATION OF OWNER OR AGENT
I Ice
OWNER/AGEWr 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 Department
APPROVED BY T(i'IV DATE 4 �cy�� st�eONDITIONS ATTACHED
DENIED BY DATE
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