CAMPBELL06
HOME OCCUPATION PERMIT
APPLICATION
CITY OF LA QUINTI
To -W tell* 198t•f•
P.O. Box 1504
�• QuInNAA.02253
�(sif) •0s -==s•
664-2246 PLANNING DI6/07
Read eachcon t the severs e side o this form to see f
the proposed tivity can o y with the City's Nome occupation
CErVL) Regulations. $35.00 fee
D E C 6 1988 TYPE OR PRINT IN INK
APPLICANT'S NAME M a r V i i (� m n b e PHONE 1, l5 Sb q_2&O-7
CITY OF LA QUINTOPERTY OWNER 111n l,v a M0.r� p el\ PHONE le i-1-s-ke4-25z10-7
OPERTY ADDRESSi5 ?—�R (n Ave
PLANNING & DEVELOPMENT DE (street)
_ L-0- Q�IN�t� CA Ct2LS3
(City) - (State) (Zip)
Type of residence (Single, Multiple, mobile hone:, etc.)- itj 61 e
Type of business %ctr�et iia r� i �a eam �aN y
Brief description of how the business will operate CQ n,9 ell eQV[S /w
orN �tio oa-i i �Q /a ebS•
N►�kt-
-Fm
ovsw ctnu oAj e— Yes, essa Q/
Number of persons -involved in business 'IQ
�• _
a ,y A, CCLMObzjj
List names of persons employed -rjm -A, -5 Cam,42beil, Iln�
Square _footage of usable floor area in -
house (exclude garage) DS61 Validation Stamp --
Location and square footage of area of
business activity in home (example:
bedrooms; 125 square feet) lao -1p
Description of machinery, equipment, and s plies being usedS,n the
business operation D e- stn/ Il S&L i S ar e IN an! • Q /V / S
rkP� �vs�def A.T.
I have read and understand and agree wit the conditions by w_ hick a
home occupation is allowed lConditions o rev s de).
005182"i092 01-12-89 13
i 0/ a �$8TAL 1 35.00
APPLICANTJSIGNATURE DATE
If Applicant Sys other than property owner, author sa
required.
OWNER OR AGENT SIGNATURE DATE
IMPORTANT: False or misleading information shall be grounds for.Qenying
your Home Occupation, or failure to comply with conditions listed on
reverse shall be grounds for revocation of permit.
��
f ff f f f f f f f f • f f
!/ APPROVED Initials 2 % Date
CONDITIONS A4TACHED
DENIED Initials Date
LQHOMOCC.PRT ,