VENTURA�j�,r2
•
•
■1110 Isll 1■tl
CITY OF LA QUINTA
78-105 Celle Eetede
►.0. BOX 1504
Le Oulnte,CA. 92283
,ts1„) so* -lit-iii
664-2246 PLANNINON G DIVISION
Read each condition listed on the reverside side of this form to see f
the proposed activity can comply with the City's Home Occupation
Regulations.
TYPE OR PRINT IN INK
APPLICANT'S NAME Al T// 2z A T 11Y 20- -A-Z PHONE 0 7j
PROPERTY OWNER It 01 PHONE
PROPERTY ADDRESS CljIA LL 671 V �i--�'=-/ >
(Street)
LA arjl NTA 04 -9 1
(City) (State) (Zipg
Type of residence (Single, Multiple, mobile home, etc.) '1'4'_'� Q
Type of business C2 A p, -Ah-M. �4 G14Vr A •i,
e
Brief description of how the business will operate /A) PA
a /DC7 r 1/,r% pNd Al /51 0A ,� r r&4,-
Number
&4,-Number of persons involved in business
List names of persons employed =ZJAA) rxA,7A fi kAn/SrC'•/UD GA'A
Square footage of usable floor area in
house (exclude garage)V AL i B9 35.0010
Location and square footage of area of
business activity in home (example:
bedrooms; 125 square feet)
Description of machinery, equipment, and supplies being used in the
business operation > a /�/ a/ Ala /9A$-,AT,�,,
I have read and understand and agree with the conditions by which a
home occupapi,wr#s allowed (Conditions on reverse side).
r
A,���/
DATE
If T
r than roperty owner, authorisation of owner or agent
OWNER OR AGENT SAGNN DATE
IMPORTANT: False or misleading information shall be grounds for denying
your Home Occupation, or failure to comply with conditions listed on
reverse shall be grounds for revocation of permit.
IN IN • • • • ! •
✓ APPROVED 1565 initials
CONDITIONS ATTACHED
DENIED initials
LQHOMOCC.PRT
3o Date
Date