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CITY OF LA QUINTA
78-495 Calle Tampico, P. O.Box 1504, La Quinta, CA 92253
HOME OCCUPATION PERMIT
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.
BUSINESS NAME AI ria- Inyk-a- iom PWONE ((9)�
PROPERTY OWNER as a&4e!,v PHONE
PROPERTY ADDRESS 0d --?75'12V4 INK h rAj 6A 5
MAILING ADDRESS
TYPE OF RESIDENCE sin multiple, mobil home, etc.)
TYPE OF BUSINESS In4l del -
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
Af ow? catalog �r invit�hc�s evil! ald 4he rye, / ordeF
NUMBER OF PE SONS INVOLVED IN BUSINESS
LIST NAME OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA
• IN HOUSE ( EXCLUDE GARAGE) jr100 5,% -Ra, -
LOCATION AND SQUARE FOOTAGE OF AREA
OF BUSINESS ACTIVITY IN HOME
( EXAMPLE , "BEDROOM -125 S.F.") OFD -09 LY) — ICO
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE
BUSINESS OPERATION
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 AGEN9�'"•IS REQUIRED.
OWNER/AGENTj-SIGNATURE ::DATX-
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.
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Bu,il4inq and.Safety Department
.
APPROVED DENIED CONDIT&If ffljAA
JUN 15 1994
BUILDING AND SAFETY