BESS (2)T
Z I I'IIII IIIII'III IIII P.O. Box 1504
La Quinta, CA 92253
f soCITY OF LA QUINTA (619) 564-2246
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�r n,� �'� 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 l ' l ! im Ifs. PHONE
PROPERTY OWNER i S `"1 ' PHONE
PROPERTY
PROPERTY ADDRESS 3J- 7� /.� v -r +,: rjCl vlct //T Xi Z 1 y1
TYPE OF RESIDENCE single multiple, mobile home, etc.)
TYPE OF BUSINESS C�"► pv�-�r L.u'-3�<<�
BRIEF DESC1RIPTION OF HOW THE JJBUSIN5SS WILL OPERATE
C fI i, S S' a. f G 1: f h Tj : V C c, f .':,s -►
-: NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) VALIDATION a
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAMPLE, OCT 0 61993
"BEDROOM - 125;•S::F.11)
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING US y- J
BUSINESS OPERATION
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
APPLICANT SIGNATURE DATE
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.
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Buildinq and Safety Ddpa4tment—Z G
APPROVED BYJ4-�6ATE1 I CONDITIONS ATTACHED
DENIED BY DATE
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