BECKAW
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52
/ CITY OF LA QUINTA
78-495 Calle Tampico, P. O.Box 1504, La Quinta, CA 92253
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 R�PHONE
PROPERTY OWNER C %4-8,17 PHONE
PROPERTY ADDRESS
MAILING ADDRESS
TYPE OF RESIDENCE (single, multiple, mobil home,
TYPE OF BUSINESS 1'�y1c�t'L- Fl-YJA)JAJ&
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL.OPERATE
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NUMB R -OF PERSONS INVOLVED IN BUSINESS
LIST NAME OF PERSONS EMPLOYED O
SQUARE FOOTAGE OF USABLE FLOOR AREA
IN HOUSE (EXCLUDE GARAGE) Z
LOCATION AND SQUARE FOOTAGE OF AREA
OF BUSINESS ACTIVITY IN HOME-Rg�,8ppy✓1 12042
(EXAMPLE, "BEDROOM -125 S.F.")
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPI JAS BEING USED IN THE
BUSINESS OPERATION s}YUDi
I HAVE EA , UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A
HOM C0bP QPI IS,,4iLLgWED (CONDITIONS ATTACHED) . j Lz�l
APPLICANT S
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER
OR AGENT IS 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.-
Buildincy.and Safety Department
APPROVED DENIED CONDITIONS ATTACHED
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