DAVIDSONP.O. Box 1504L��auU
44 La Q.uinta, CA 92253
r CITY OF LA QUINTA (619) 564-2246
• yOF TMto HOME OCCUPATION APPLICATION ! MAYX392
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 PHONE 3 Y y�
PROPERTY OWNERPHONE
PROPERTY ADDRESS S` 3 $- IyoA,-'VA
TYPE OF RESIDENCE�multiple, mobile home, etc.)
TYPE OF BUSINESS
IDCST
CO•'� �•L
BRIEF DESCRIPTION
OF HOW THE
BUSINESS WILL OPERATE
I 72�--GA4-
L.-, *rJ4
t P/1,,— e- -- Drzs,v, -
J... A-- /ay.We
NUMBER OF PERSONS INVOLVED IN BUSINESS /
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
• HOUSE (EXCLUDE GARAGE) lSePofQ
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 S.F.") 242 $!I /ter
VALIDATION STAMP
° °
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE
BUSINESS OPERATION �P/�I•,rQ ) rL f s/°/LH yee
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED) . 005182 IO C,iff 05-28-92 io
ii; CASH i TOTAL i 35.00
5—/z
APPLICAdQT SIGNATURE
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.
Building and Safety Department
APPROVED BY DATE CONDITIONS ATTACHED
DENIED BY DATE
y
rely o (� Pt
•
s
CITY OF LA QUINTA
HOME OCCUPATION APPLICATION
78-105 Calle Estado
P.O. Box 1504
La Quinta, CA 92253
(619) 564-2246
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 PHONE 15 Z `►'
PROPERTY OWNER Si?rn c
PHONE 3 t y i'
PROPERTY ADDRESS
TYPE OF RESIDENCE t'�, multiple, mobile home, etc.)
TYPE OF BUSINESS Jocsr c°" rAzel-
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
or&,^ op l `i ov", L.► 1'7-14 t t De.s loo'
NUMBER OF PERSONS INVOLVED IN BUSINESS /
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
• HOUSE ( EXCLUDE GARAGE) 1 QOf4l /=�r
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 S.F.") 2 Q $lt /%?✓
A
VALIDATION-STAMP
c\o�-
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE
BUSINESS OPERATION PlAe,re- ) n•ve�K S/'/'LH vC2
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
APPLIC 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.
Buildin_g and Safety DepArItment r
APPROVED B SLBATE CONDITIONS ATTACHED
DENIED BY DATE