KOHLER (2)P.O. BOX 1504
La Quinta, CA 92253
CITY OF LA QUINTA (619) 564246
HOME OCCUPATION APPLICATION IIIIIII'IIII'IIIII'I
46
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' ' C IU1rIn t KA11 v1(- PHONE
PROPERTY OWNER �b 12 2 L C�Q�t PP PHONE 5 6 Q OR ('Cl
PROPERTY ADDRESS S y I o .V,u U e i o Hca GU ih-� CA q22 -S3
TYPE OF RESIDENCE (single, multiple, mobile home, etc.)
TYPE OF BUSINESS NI N'[ IV-+AC'r—
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE for n)V S e/ Q n d
n .CA R MV -e(o�nP
NUMBER OF PERSONS INVOLVED IN BUSINESS Z
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) r ON STAMP
• LOCATION AND SQUARE FOOTAGE OF AREA OF MAY 17 1993
BUSINESS ACTIVITY IN HONE (EXAMPLE,
"BEDROOM.- 125 S.F.") /501.
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLY THE
BUSINESS OPERATION hsly C-4.rL
I HAVE READ,UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
GNATURE
—12-q3
DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQY�JED .
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 D a tment
APPROVED BY SL DATE
DENIED BY DATE
CONDITIONS ATTACHED