TURNERi
78-105 calleballede
P.O. sox 15W
Le QuIlQtf CA.f22t
Kim) 664-11104--
664-2246 PLANNING DIVISION 6/67 .
ad each condition listed on the reverside side of this tom to seo
l^ the proposed activity can Comply with the City's Nome Occupation
Regulations. $35.00 fee
TYPE OR PRINT IN INK
APPLICANT'S NAME PHONE 619'- 5-61 �- 1� OZ It
PROPERTY OWNER PHONE 6/9 S
PROPERTY ADDRESS S3iG.S AU6WJVA IVALL.L-,:0. Ga* -Q0, -AJ .A
t street.)
GA Qy� w i�4 e .44 //C10A N/A- 9 z Z 5 3
RECDD (City) (State) (Lip)
Type of residence (Single, Multiple, mobile home, etc.) .S/N SLG
AN 0 8 1991 Type of business
CITY u� LA QUINTA
PIAMMG
1.
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the
Number of persons involved in business DNE - /7SC L/1 -f --
List names of persons employed /'7i�-/h/oma% T✓/i, N�/� -�YSL�CF-
Sg4are footage of usable floor area in
house (exclude garage) ,/.5 00 validation Stamp
Location and square footage of area of 00518'' 10 8970 � � 07-9i 0
business activity in home (example: IO SASH i TOA S 35.00
bedrooms; 125 s feet)
,sT_r-r'z '?c��, hoc
Description of machinery, uipment, and sullies beipq us in tie
business operationS,�'�'1 �,AL�
I have read and understand and agree with the conditions by which a
home occupation is allowed (Conditions on reverse side).
APPLICANT SIGNATURE DATE " ..... ...`. „-^.-.,-.....
If Applicant is other than property owner, authorization of owner or agent
required.
JAN 0 8 1991
OWNER OR AGENT SIGNATURE DATE
CITY OF LA QUINTA
IMPORTANT: False or misleading information shall be�grounds for denying
your Name Occupation, or failure to comply with con tions- fisted• -on ••-
reverse shall be grounds fox revocation of permit.
f • f �f f f • 1 f f f f
APPROVED S Initials Date
ITZ A CHED
-�' Initials Date
Lpxanocc.PRT
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s
v
3
Q
�
V
v
v
3
desczi
the
Number of persons involved in business DNE - /7SC L/1 -f --
List names of persons employed /'7i�-/h/oma% T✓/i, N�/� -�YSL�CF-
Sg4are footage of usable floor area in
house (exclude garage) ,/.5 00 validation Stamp
Location and square footage of area of 00518'' 10 8970 � � 07-9i 0
business activity in home (example: IO SASH i TOA S 35.00
bedrooms; 125 s feet)
,sT_r-r'z '?c��, hoc
Description of machinery, uipment, and sullies beipq us in tie
business operationS,�'�'1 �,AL�
I have read and understand and agree with the conditions by which a
home occupation is allowed (Conditions on reverse side).
APPLICANT SIGNATURE DATE " ..... ...`. „-^.-.,-.....
If Applicant is other than property owner, authorization of owner or agent
required.
JAN 0 8 1991
OWNER OR AGENT SIGNATURE DATE
CITY OF LA QUINTA
IMPORTANT: False or misleading information shall be�grounds for denying
your Name Occupation, or failure to comply with con tions- fisted• -on ••-
reverse shall be grounds fox revocation of permit.
f • f �f f f • 1 f f f f
APPROVED S Initials Date
ITZ A CHED
-�' Initials Date
Lpxanocc.PRT