HORVATHr -i
33
CITY OF LA QUINTA
HOME OCCUPATION APPLICATION
78-105 Calle Estado
P.O. Box 1504
La Quinta, CA 92253
(619) 564-2246
• 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 1MAR10 i'1oPWAT� PHONE E6 I q 13
PROPERTY OWNER MAIN IS m —►�t PHONE 45AW E_
PROPERTY ADDRESS 53'No AVE ��0
TYPE OF RESIDENCE (single, multiple, mobile home, etc.)
TYPE OF. BUSINESS 14AAI L. CVJiR�
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL -OPERATE -TO- Ayl
fykcZ�Mak rnZ A WW(,- - RA SIL65s
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED
PAID $35.00
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE ( EXCLUDE GARAGE) Z5MASIF
• LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 S.F.") �_ � �U S�
VI I T Uf LA QUINTA
VALIDATION -STAMP
OCT 2 11992
BUILDING AND SAFETY DEPT.
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE
BUSINESS OPERATION -TF_L}=Q/dTMP
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. 1-4r,
oe f 2—
AGENT
AGENT SIGNA URE DATE
IMPORTANT: False or misleadingt�*.'"nformation shall be grounds for denying
your Home Occupation; failure tooyycomply with conditions listed on the
attached page 'shal,l. be grounds ;,or revocation of permit.
.:� .
Buildin and --aety De r ent
APPROVED • B ; DATE I e-f�L_ CONDITIONS ATTACHED
DENIED BY /DATE