MORAN•
I OF LA QUiNTA
105 Calle Estede
P.O. SOX 1504
Oulnta,CA.92253
(sit) $t4-224•
564-2246 PLANNING DIVISION 6/87
Read each condition Iiste rove ide side of this form to see f
the proposed activity comply th th City's Home Occupation
Regulations.
TYPE OR PRINT IN INK /( 1, �/�
APPLICANT'S NAME l - IA k 1' OR- At -1 PHONE t0 S10 -3-7to(
PROPERTY OWNER PHONE
PROPERTY ADDRESS ' 14�- lv3 S [3DTC l E RUS
. in . i (Street)., --
(City) (State) (zip)
—' Type of residence (Single, Multiple, mobile home, etc.tjI I
h
Type of business l 0Q-5Ld titj
Brief_descriptiol of how the business will operate 00!, Se.t_I-;acct
Number of persons involved in business a
List names of persons employed MAP -V, MOi2..Ar.1
Square footage of usable floor aze in
house (exclude garage) 1(e DO Validation Stamp
Location and square footage of area of
business activity in home (example:
bedrooms; 125 quare feet) aOG'Al
I"
Description of machinery, equipment, and supplies being used in the
business operation Q C_0vyN9LLT-cP-S,PV4crmepPiEA , f -Ax -NRC 14II
i0 AA94A;h 40 QJA AA 44
A i A l 9 35'.0014
I have read and understand and agree with the conditions by w c a
home occupation is allowed (Conditions on reverse side).
F117
APPLICANT SIGNAXURE DATE
If Applicant iG other than property owner, authorization of owner or agent
required.OWn
8 09 89
R WAGENT SIGNATURE DATE
IMPORTANT: False or misleading information shall be grounds for denying
your Home Occupation, or failure to comply with conditions listed on
reverse shall be grounds for revocation of permit.
ova, 14-r7 " ✓ APPROVED Initials
YL, CONDITIONS ATTACHED
�yXy E DENIED initials
LQHOMOCC.PRT
slit /2-9 Date
Date