WESTHOVEN•
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE Orr-:IGE
PEP -AT i n K 5,
NUMBER OF PERSONS INVOLVED IN BUSINESS Z
LIST NAMES OF PERSONS EMPLOYED PAM k T*)A K1 V�LE'�T 4 �r1 V AI
SQUARE FOOTAGE OF USABLE FLOOR AREA IN In ICAA <1,14-& I0
HOUSE ( EXCLUDE GARAGE) 18CO + V „=,MP f
LOCATION AND SQUARE FOOTAGE OF .AREA OF MAR 12 1993
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 S.F.") •KtTc-44Et-J TABLE 13U11 niNG MI) 60"Ty DWI._
—
Ce By
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES B
BUSINESS OPERATION CAte_0LATO1' . MtS . r3r-gcE_ Sv PPU E5 . Pay NT.
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.
4
OWNER/AGENT SIGNATURE DATE
=1'•rC= ��� 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.
Buildin--nq and Safety Department IiJ30 /0/'-1
APPROVED BY DATE f � _ CONDITIONS ATTACHE
DENIED B7 DATE 'f
,f.h4a
CITY OF LA QUINTA
X017/ 7�9-LL4b
'
of „+v
HOME OCCUPATION APPLICATION I IIIIII VIII IIII IIII
47
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.
•
'DANIEL
APPLICANT'S NAME
C. 1�Es-rNo�Erl
PHONE
PROPERTY OWNER DAN
f
PAM Jes-r44oVEfj
PHONE 51,' - 13q�
PROPERTY ADDRESS
5�
ZS AVEN(DA YAw-=: so
i NrA OA
TYPE OF RESIDENCE
(single, multiiple, mobile home,
etc.) 4Z:)1k6tLE
TYPE OF BUSINESS
I'Ai
NTi nl G �DNTIZACToe
•
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE Orr-:IGE
PEP -AT i n K 5,
NUMBER OF PERSONS INVOLVED IN BUSINESS Z
LIST NAMES OF PERSONS EMPLOYED PAM k T*)A K1 V�LE'�T 4 �r1 V AI
SQUARE FOOTAGE OF USABLE FLOOR AREA IN In ICAA <1,14-& I0
HOUSE ( EXCLUDE GARAGE) 18CO + V „=,MP f
LOCATION AND SQUARE FOOTAGE OF .AREA OF MAR 12 1993
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 S.F.") •KtTc-44Et-J TABLE 13U11 niNG MI) 60"Ty DWI._
—
Ce By
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES B
BUSINESS OPERATION CAte_0LATO1' . MtS . r3r-gcE_ Sv PPU E5 . Pay NT.
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.
4
OWNER/AGENT SIGNATURE DATE
=1'•rC= ��� 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.
Buildin--nq and Safety Department IiJ30 /0/'-1
APPROVED BY DATE f � _ CONDITIONS ATTACHE
DENIED B7 DATE 'f
,f.h4a