NEWMANCITY OF LA QUINTA
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HOME OCCUPATION APPLICATION 7 7 7_ •7 0 •S� U
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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 2,4 All L. V, J�%`" AJ �✓ PHONE i- y 7 -z a
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PROPERTY OWNER 5' PHONE
PROPERTY ADDRESS -77P77 CAL Liz
TYPE OF RESIDENCE (single, multiple, mobile home, etc.)
TYPE OF BUSINESS O F/= E A9 ,s x 5 Ha xjtz / NS /'/I c % 10 d T.
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE & P6),J r G r/Pi F
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NUMBEx O:ONSI�V VED IN BUSINESS �F � ��_ 9 p rr�oR
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) �SS'n VALIDATION STAMP
CITY OF LA QUINTA
LOCATION AND SQUARE FOOTAGE OF.AREA OF
BUSINESS ACTIVITY IN HOME.(EXAMPLE, MAR 16 1994
"BEDROOM - 125 S -.F.") '70
DiN,NG Ro�K, y� LL
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPP VO IN THE
BUSINESS OPERATION r v F / 3 ��P�
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I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
APPLICANT SIGNATU9E DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED.
OWN R/AGENT SIGNATURE'` DATE
IMPO TAPiT 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.
Build' and SafetyXpgart�ment
PPROVED BDATE �. CONDITIONS ATTACHED
DENIED BY DATE