Altheide (2)CITY OF LA QUINTA 1017/ �O9-LL4
�►,�+ 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 \IImr-,,LA C- i-u-rte�Y3LPHONE Coi`►r' S� -adg
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PROPERTY OWNER �gu 5 wy,cx-W,A L Pon+e,be PHONE Ste_
PROPERTY ADDRESS �'l- C�.c.e (`(lA49-,p
TYPE OF RESIDENCE single multiple, mobile home, etc.) S(N(_.,LC
TYPE OF BUSINESS C,�,OAAJINb (N C3 SS
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE _� w tc� 0� -E
iW. wkck [-.
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED g �j SE(P
SQUARE FOOTAGE OF USABLF.'FLOOR AREA IN PAID 924 arp
HOUSE ( EXCLUDE GARAGE) j t 00 V _ YAMp
IIYY RR�� C/—
LOCATION AND SQUARE FOOTAGE OF _AREA OF MAR .151993
BUSINESS ACTIVITY IN HOME. (EXAMPLE,
"BEDROOM - 125 S.F.") boa
BY
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEIM E
BUSINESS OPERATION _ Cl�fl1v1 Ates su.pQ�_ jc--s
\)14V1 1 A, &1`'7R
I HAVE READ, UNDERSTAND, AND .AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
APPLICANT SIGNATURE DATE
IF APPLICANT IS OTHER THAN PROPERTY -OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED.
OWNER/AGENT SIGNATURE DATE
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--� and Safety `rtment
APPROVED BY L DATE 3 CONDITIONS ATTACHED
DENIED BY DATE
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