WILESCITY OF LA QUINTA J619) 564-2246 -JJ
OFT", HOME OCCUPATION APPLICATION I IIIIII IIII' IIII IIII
42
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 I S NAME V1 l6S PHONE%
PROPERTY OWNER kb&-Jta- 4CL/" PHONE
PROPERTY ADDRESS/ -''/U-7 /9 2 • V,e-,l
TYPE OF RESIDENCE sing �, multiple, mobile home, etc.)
TYPE OF BUSINESS
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
Gb -e-A7 _.
NUMBER OF PERSONS INVOLVED IN BUSINESS 6
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN PAin eq 00
HOUSE ( EXCLUDE GARAGE) ��'� "Z'" ' 1, 700S O- 4- V TAMP
LOCATION AND SQUARE FOOTAGE OF .AREA OF FEB 25 1993
BUSINESS ACTIVITY IN HOME. (EXAMPLE,
• "BEDROOM - 125 S.F.") !�;eG( ql k3rn 1 U 4, S.
BY
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES B U ED
BUSINESS OPERATION _
0 r?
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.
l
OWNER/A SIGNATURE DATE
=YPO i;u'_: 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.
BuildiTiq and Safety Depat
rment
• APPROVED BY ' DATE a j 3 CONDITIONS ATTACHED
DENIED BY DATE