MOORECITY OF LA QUINTA (619) 564-2246
`'► �r TMt �, 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.
APPLICANT'S NAME �-ll �� M 1'� 1`�OQI�- PHONE �Q g
PROPERTY OWNER ���[� ` �I N I lybl�-� PHONE
PROPERTY ADDRESS 6q' �jjbj LA Q U I N 1 n CA q QJ53
TYPE OF RESIDENCE (single, pmultiple, mobile home, etc.) / 1 -jr
TYPE OF BUSINESSIyTK�I�-
BRW DESCRIKTION Off' HOW THE BUSINESS WILL. OPERATF, :T -WILL 6-70
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR EA I
HOUSE (EXCLUDE GARAGE) 100
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME EXAMPLE �n
"BEDROOM - 125 S.F.")Jx b
DESCRIPTION OF MACHINER.Yi E UIP T, AND SUPPLIES�'T.SELLI muF
BUSINESS OPERATION
CITY OF LA QUINTA •lr c//
JAN 191993 � y%
J5 —
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPA,'TON IS ALLOWED (CONDITIONS ATTACHED).
LICANT SI
DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED.
OWNER/AGENT SIGNATURE DATE
=':PO: ltuti : 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.
Buildixg and Safety De artment
APPROVED B DATE CONDITIONS ATTACHED
DENIED BY DATE
:w I IIIIII lllll I'll I'll
49