SCAVONE" �'�'_�,, IIIIIIIIIIIIII'IIIII 78-105 Calle Estado
32 P.O. Box 1504
La Quinta, CA 92253
CITY OF LA QUINTA (619) 564-2246
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.
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APPLICANT'S NAME /%%i c h ,:5� e Ca i. o .,q e, PHONE
PROPERTY OWNER /��chae % ,/�e�,-� �eQ v�.�e PHONE 5-1-.5s67
PROPERTY ADDRESS Qac
TYPE OF RESIDENCEsingle multiple, mobile home, etc.)
TYPE OF BUSINESS
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE /1I�A&-
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (.EXCLUDE GARAGE)Aoma /y )tl STAMP
LOCATION AND SQUARE FOOTAGE OF AREA OF
• BUSINESS ACTIVITY IN HOME (EXAMPLE, SEP 10 1992
"BEDROOM - 125 S.F.") /2 o 72C- BUILDIN Alyn it&=
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING •
VT
BUSiN SS OPERATION Q �Q�pr> E
�r (� l c r'f' /ems c�/e 6 , a( e
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION LOWED (CONDITIONS ATTACHED).
APPLICANT SIGNATURE
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 of permit.
-------------------------------- _
• Buildin and Say De ment161--,/1 OIL -
4 APPROVED BY DATE GONDI•TIONS ATTACHED
DENIED BY DATE W Q�
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