GARZA•
67
HOME OCCUPATION PERMIT
APPLICATION K 3V
CITY OF LA QUINTA
78-105 Celle Eetele
P.O. Box 1504
Le Qulnte,CA. 92253
,tsie) sss-t:ss
664-2246 PLANNING DIVISION 6/87
Read each condition_`listed on the revert de side of this form to see if
the proposed v y n ly with the City's Home Occupation
Requlation . $35.00 fee
TYPE OR PRINT IN INK
APPLICANT'S NAME e P 2 PHONE ia-ek
PROPERTY OWNER -o - 0V PHONE
PROPERTY ADDRESS CCTr cS0 �Cti, c L�.ii�r-o
A --
City
Type of residence (Single, Multiple, mobile home, etc.)_
Type of business �// C P� 6 'LG
Brief description of how the business will operate
Ow N Pr S
(ori /e
Number of persons involved in business
T Y e .h
List names of persons employed ��
��� Q
CZa r z
e�. r'j Qf,J
Square footage of usable floor area in
house (exclude garage) /9�
Location and square footage of area of
business activity in home (example:
bedrooms; 125 square feet)
05g- Allo Uh/l,•f ^/6 v Pel & f -
Description of machinery, equipment, and sup
business operation S � i „Q0 �¢d , 6
Validation Stamp
plies beim used in the
I have read and understand and agree with the conditions by which a
home occupation is allowed (Conditions on reverse side).
s / 7
APPLIC,TNT SIGNATURE
If Applicant is other than property owner, authorisation of owner or agent
required. , p
S / �0
OWNER OR GENT SIGNATURE DATE
IMPORTANT: False or misleading information shall be grounds for denying
your Home Occupation, or failure to comply with conditions listed on
reverse shall be grounds for revocation of permit.
f f f f f f f f rR f f f f
V APPROVED NVMY'*-J Initials �7 I� 8� Date
CONDITIONS ATTACHED
DENIED Initials Date
i.
LQHOMOCC.PRT