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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.
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BUSINESS NAME MA(� x fZ e�C PHONE
PROPERTY OWNER C
PROPERTY ADDRESS _
MAILING ADDRESS _
TYPE OF RESIDENCE
TYPE OF BUSINESS
PHONE
single,3 multiple, mobil home, etc.
BRRIEF DESCRIPTION O HOW THE B INES%��WILL OPERATE
V e to )OC'a3,5
F•O/J �
NUMBER OF PERSO S INVOLVED IN BUSINESS Z
LIST NAME OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA
IN HOUSE (EXCLUDE GARAGE) _L'31)0 SQA�'t-
LOCATION AND SQUARE FOOTAGE OF AREA
OF BUSINESS ACTIVITY IN HOME �D ��
(EXAMPLE, "BEDROOM -125 S.F.")
DESCRIPTION OF MACHINRY, EQUIPMENT, AND SUPPLIES BEING USED IN THE
BUSINESS OPERATION /V01 -,!Z
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A
HOM 9CCUTIIONS ALLOWED (CONDITIONS ATTACHED) ^a,
CANT SIGNATURE .
DATE
IF APPLICANT IS OTHER THAN PROPEY OW�AUTHORIZATION OF OWNER
OR AGENT IS R UIRED. LA- Gld�i�7i12--143
OWNER/AGENT SIGNATURE DATF!
IMPORTANT:' FALSE OR MISLEADING INFORMATION SHALL BE GROUNDS FOR
ING:'.YOUR HOME OCCUPATION; FAILURE TO COMPLY WITH CONDITIONS
D SON ;_THE ATTACHED PAGE SHALL BE GROUNDS FOR REVOCATION OF
PERM.I.T' _
Buil and SafetyDepartment
APPROVZD DENIED CONDITIONS ATTACHED
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Custom Structure/ fl6rdscapes
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MOBILE CONCRETE
(619) 564-6528
Commercial - Recreational
Custom Residential
Lic. #669270
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