BohnenbercterIUIIn
I II I�I'
IIVI'I'I II II
Jif:. LJ -Y UIJ
/ V J V J O. Box
P. 1504
`
[r -v
a
24
La Quinta, CA 92253
(619) 564-2246
CITY
OF LA QUINTA
SEP 2 2
1993
F T"
ME OCCUPATION APPLICATION
•
Read eacsB
on the
attachment to
this form to see if the
proposed
activity
can comply with ,the City's Home Occupation Regulations.
APPLICANT'S NAME
1117/eq /eq�O �/y
F.�V ,BELL �%Z
PHONE
PROPERTY
OWNER
PHONE'
PROPERTY ADDRESS
TYPE OF RESIDENCE (single, multiple, mobile home, etc.)
TYPE OF BUSINESS f1 1
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS T=MRL*VSEr
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) /U 'X /// VALIDATION STAMP
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 S.F.") 3c ge0o m
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED I THE
BUSINESS OPERATION. C'�G� O� CQ I// 5 GZ r� �/ C
IjI HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
PLICANT*SIGNATURE
-16-
DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGE!
REQUIRED.
OWNER/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.
Buil;eing and Safety a rtment
APPROVED BY DATE CONDITIONS ATTACHED _
DENIED BY DATE