SANCHEZP.O. Box 1504
F �Z biw� c,, La Quinta, CA 92253
69
(619) 564-2246
CITY OF LA QUINTA
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
XIV i x* -k
6AtW
t Z
PHONE
-5(A-34�-/
PROPERTY OWNER
SCAVI to
SFA
fvCH
G Z
PHONE
5 Co 4 - 3 44
PROPERTY ADDRESS 6a- % k O AVO M I A, V r LC -A LAS Q U A All A . CA . 92-25-3
TYPE'OF RESIDENCE (single, multiple, mobile home, etc.rVC-7 LI:F-
TYPE OF BUSINESS
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS I (s�zr-)
LIST NAMES OF PERSONS EMPLOYED N dNk= '
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE ( EXCLUDE GARAGE) la Oa .sq 'r r
LOCATION AND SQUARE FOOTAGE OF_AREA OF
BUSINESS ACTIVITY IN HOME.(EXAMPLE,
"BEDROOM - 125 S.F.") 10 X I D .5jr &---600M
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLI
BUSINESS OPERATION SlcriP LOADcfe , S- -FON
A RbTI 00 STAMP
CITY OF LA QUINTA 0 73
00JAN 0.8.1993 � 3s
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
APPLICANT SI
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED.
OWNER/AGENT SIGNATURE DATE
y O iru%' 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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Building and Safety pertment
APPROVED B �ATE
DENIED BY DATE
CONDITIONS ATTACHED