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�=�. P.. Box 1504
38 La Quinta, CA 92253
OF LA UINTA (619) 564-2246
CITY Q
�faOF TM HOME OCCUPATION APPLICATION
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
J',0%jEr S0t.
CONS^( VAAC:nOQ
PHONE
S,,' (obi-13Oq
PROPERTY OWNER
C9eff)erg3e
�E E,2
PHONE
S(o Q` 1?Lng
PROPERTY ADDRESS
52.- -11k
AVEt�11�A �irct-ASW
TYPE OF RESIDENCE (single, multiple, mobile home, etc.) SI W G L.IC
TYPE OF BUSINESS a C�fi t, C-AN'MAt7%02.
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED Now
SQUARE FOOTAGE OF USABLE FLOOR ARFA IN
HOUSE (EXCLUDE GARAGE) %"jOO V TAMP
LOCATION AND SQUARE FOOTAGE OF AREA OFW 7
BUSINESS ACTIVITY IN HOME ( , LESEP 1.1993
"BEDROOM - 125 S.F.")gg
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIESY BEENS USED 1N -THE
BUSINESS OPERATION Lo w►.0%XT M P -42W MOM CAU -L-6 %. ACKO
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
APPLICANT SIGNATUR DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGE'-
REQUIRED.
GE: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.
B u i 1d 1 �natfd Safety Department
APPROVEDBY ��, /,l� DATE ^/ CONDITIONS ATTACHED
DENIED BY DATE