HASSETTW
I IIIIII'I'II I'II IIII
P.O.
Box1504
Calle
as La Quinta, CA 92253
CITY OF LA QUINTA (619) 564-224
44
HOME OCCUPATION APPLICATION `13 Z 2f
Read each condition listed on the attachment to this form to see if th
proposed activity can comply with the City's Home Occupation Regulations.
APPLICANT'S NAME
PROPERTY OWNER
PROPERTY ADDRESS J _TUU
TYPE OF RESIDENCE singl ,
2` 1 PHONE &212 - j 7 5 a I q)_�'
i�L PHONE 6�� - -17-y-- NX9
multiple, mobile home, etc.)
TYPE OF BUSINESS �jw`$t-S ' �_c�.r� 'VriA
EFS DESCRIPTIOW P' HOW�Tff BUSINESS WILL OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS 1
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF T.TSAELE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) - 114pp � x STAMP
• LOCATION AND SQUARE FOOTAGE OF AREA OF 'A
BUSINESS ACTIVITY IN HOME g (EXAMPLE,. FEB 0 21992
"BEDROOM - 125 S.F.,, ) J��X.ycon lsD R
DESCRIPTION OF MACK RY, EQUIPMENT, AN SUPPLI S -aa �6 �T8$Q-T*�.TH
BUSINESS OPERATION V ,GAX
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED.
OWNER/AGENT 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.
Building and Safety Department
APPROVED BY DATE CONDITIONS ATTACHED
DENIED BY DATE
March 10, 1992
Because I am presently working from an Indio address, but have a La
Quinta P. O. box, I am requesting a home occupation permit
inspection be waived at this time.
I have applied and paid for a home occupation permit, and now
request a business license, so that I may continue doing business
in La Quinta.
I understand that a home occupation inspection is still necessary
and will be held within ten (10) days after I move into my new
residence. I will notify Building and Safety within ten days of
residence.
Doug ss tt
54-800 Avenida Rubio
La Quinta, CA 92253
6,
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