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CITY OF LA QUINTA
HOME OCCUPATION APPLICATION
P.O. Box 1504
La Quinta _9253-
(619 5646 r-\
`VW Read each condition listed on the attachment to this form �d e if the j
proposed activity can comply with the City's Home Occupat`i\,bn--Re-gu i-arL-,I
APPLICANT'S NAME�/ t / Cjc' PHONE `//
PROPERTY OWNER 1:� l/ PHONE
PROPERTY ADDRESS
TYPE OF RESIDENCE (single, multiple, mobile home, etc.)
TYPE OF BUSINESS �L C) CA
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL. OPERATEC-
�
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYEDsAC 01 q (IJ-) k� �
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) 3 00 VALIDATION STAMP
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAMPLE,p,`'
"BEDROOM - 125 S.F.")
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE.
BUSINESS OPERATION Two* tS1JInAVIt i MC\57',( �� *i L -e
�), •,
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
ICANT SIGNATURE
DATE
IF APPLICANT IS•OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
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.
Buildinq and Safety jDear nt I C�
�J
APPROVED (BY DATE !� ` CONDITIONS ATTACHED
LS
DENIED BY DATE ` �M J47E