PAGES (2)• I IIIIII IIII'IIII
CITY OF LA OUINTA 03 A-106 Cells Estado
P.O. Box 1504
HOME OCCUPATION PERMIT La Oulnta. CA 92253
(819)684-2248
APPLICATION
\ Read each condition listed on tte attachment to this form to see if the
i�proposed activity can comply with the City's Home Occupation Regulations. -------
(TYPE OR PRINT IN I]NK)` �-
APPLICANT'S NAME y({�j�l.�l��/� Uo A006 PA�cJ PHONE 56O�
PROPERTY OWNER PA O&S PHONE
yS
PROPERTY ADDRESS / 7— 3a r Com'//C / �� -leq
TYPE OF RESIDENCE (single, multiple, mobile home, etc.) 5 /fig
% Ie
TYPE OF BUSINESS ` /ems+ /I / `7y // /
BRIEF DESCRIPTION OF HOW THE .BUSINESS WILL OPERATE Lt)e ado erT
.5e- AP- I j.. I & -4A P_ � - / / e'l -/s cz. `1 a Cl o -fa --/-A a I,—
NUMBER OF PERSONS INVOLVED IN BUSINESS �z.
LIST NAMES OF PERSONS EMPLOYED fD HIJ N 6 -,�' 49,6te-,r o �CCJci �-S
MIMMEAR
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
cIRff0NAMAVAHOUSE (EXCLUDE GARAGE) le OO *.P-
LOCATION AND SQUARE FOOTAGE OF AREA OF FEB 2 2.1991
BUSINESS ACTIVITY IN HOME ( AMPLE,
"BEDROOM - 125 SQUARE FEET") (EX
1102 #ND &V= 09%
DESCRIPTION OF MACHINERY EQUIPMENT, AND SUPPLUS MYRU JWWN
OPERATION ljdccu,,�l eleanens nd om , a
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IIS ALLOWED (CONDITIONS ATTACHED).
APPLICANT SIGMA DTE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED.
OWNS !GENT SIG TUBE / DATIE
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.
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BUILDING i SAFETY DEPAR q p
APPROVED BY DATE �- / / CONDITIONS ATTACHED
DENIED BY DATE
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