JENNINGSr
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I IIIIII VIII I'll IIII P.O. Box 1504 ......,
40 La Quinta, CA 92253
_ CITY OF LA QUINTA (619) 564-2246
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 -JC?,jN //`!6S PHONE��/9J%%1-`JgZ
PROPERTY OWNER�L7 PHONt�;/ 7/ /�Z
PROPERTY ADDRESS
TYPE OF RESIDENCE (single, multiple, mobile home, etc.)
TYPE OF BUSINESS
BRIEF DESCRIPTION OF HOW THE BF§INESS WILL OPERATE
77c3, $c Z)c�,e erT fi 7s
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED . ce�1�%�i(�/-���s
SQUARE FOOTAGE OF USABLE FLOOR ARE,& IN PAIPJ IMS; AA
HOUSE (EXCLUDE GARAGE) v / 7G� )b*WMgNTkTAMP
LOCATION AND SQUARE FOOTAGE OF AREA OF NOV 0 11993
BUSINESS ACTIVITY INOME (E
"BEDROOM - 125 S.F.")��XAMPLE
—
BY
DESCRIPTION OF MAC ERY, EQUIPMENT, AND SUP LIES E
BUSINESS OPERATION
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.
•Buildl'nq and Safe D_gpartment
APPROVED SATE `'%`�� CONDITIONS ATTACHED
DENIED BY DATE
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