Moser,��� CITY OF LA QUINTA (619) 564-2246
' Fy nF T"t HOME OCCUPATION APPLICATION r Soo `
Read each condition listed on the attachment to this form to see A t e
roposed activity can comply with the City's Home Occupation Regulati ns.
APPLICANT'S NAMES Q)e c �t CES ; vc PHONE
PROPERTY OWNER �.F j ; „u PHONE
PROPERTY ADDRESS L/ .AQa
TYPE OF RESIDENCE single multiple, mobile home, etc.)
TYPE OF BUSINESS 1 c r k n n
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE 741 4L
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE ( EXCLUDE GARAGE)i Q � 1.5A- Ict VALI bb STAMP
LOCATION AND SQUARE FOOTAGE OFAREA OF CrrYOFLAQUINTA
BUSINESS ACTIVITY IN HOME.(EXAMPLE, JAN 2 8 1993
• "BEDROOM - 125 S.F.") 1 D 0 -SA SCA- AedKee r,
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIE%W
MG UE D�INME
BUSINESS OPERATION .S'8Q b�cr �cc� ��
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
=MPOR T;!ZT: 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.
BuilOin and Safety D tment
• APPROVED BY LDATE -a- % -cl� CONDITIONS ATTACHED
DENIED BY DATE
111111 Nil 11111111
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