ERBACHERI V OUVBox x1150J "50 4L.7 V"� %
V/ P..
La Quinta, CA 92253
CITY OF LA QUINTA (619) 564-2246
HOME OCCUPATION APPLICATION I IIIIII VIII IIII IIII
70
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 Le" D e f t rL 4' /L/Sil C N,0-- 2
PROPERTY OWNER
PROPE�TY ADDRESS
cl-
- 2-5- Al/-- U'lccC--l'0 1
TYPE OF RESIDENCE (single, multiple,
�0
TYPE OF BUSINESS
PHONE S (c Y-� 9 O S
PHONE �-
'A
mobile home, etc.) S/ w $ f_ C -
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED �/`1lGf
SQUARE FOOTAGE 00
OF USABLE FLOOR AREA IN PAID $35.00`3S"
• HOUSE (EXCLUDE GARAGE)
LOCATION AND SQUARE FOOTAGE OF AREA OF SEP p 81993
BUSINESS ACTIVITY IN HOME (EXAMPLES, 8UILD11 AND E '
"BEDROOM - 125 S.F.") 2S-0
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN
BUSINESS OPERATION
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
CANT SIGNATURE
DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGEN'
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.
Building and Safety Devartment 3�J
�
APPROVED BY DATE � CONDITIONS.ATTACHED
DENIED BY DATE