NARD (3)1I""I
150,�P.O. BOX 1504
t
s La Quinta, CA 92253
JCITY OF LA UINTA(619) 564-2246
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 9,CA CTQn2 nrA PHONE (,19-5�`1-��J3c7
PROPERTY OWNER "-OV is sa PHONE
PROPERTY ADDRESS �' � �� &ASLE : INC
TYPE OF RESIDENCE sing , multiple, mobile home, etc.)
TYPE OF BUSINESS (IT LTAS
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATEwi. cmkly -c
NUMBER OF PERSONS INVOLVED IN BUSINESS 1
LIST NAMES OF PERSONS EMPLOYED Qs f acc�
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE ( EXCLUDE GARAGE i 1')00 . I ON NT
LOCATION AND SQUARE FOOTAGE OF AREA OF NOV 93 1993
BUSINESS ACTIVITY IN HOME (EXAMPLE,
BEDR(JOM--) 12 5 S.F.") ) `)�. S F y
—��
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE
BUSINESS OPERATION rwc�n�,�Q
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
� /";o r V/,� I J 11- AA- q3
APPLICANT SIGNATURE DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGE2
REQUIRED.
OWNS /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
�% / vZ L'rc%3� CONDITIONS ATTACHED
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APPROVED BY DATE•...
JJ0 COMMEAC-I l— VL'7VCLES-
DENI ED BY DATE RET ID FlJT'i A LL PAR6k'