COCHRAN78-105 Calle Estado
P.O. Box 1504
La Quinta, CA 92253
(619) 564-2246
'Y CITY OF LA QUINTA' ��-- --
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OCCUPATION APPLICATION
01
Read each condition fisted on the attachment to this form to see if the
proposed activity can comply with the City's Home Occupation Regulations.
APPLICANT'S NAME CC -)C) (` I� PHONE
56,L4-
PROPERTY OWNER PHONE
PROPERTY ADDRESS Co il(f�_TeGGP _Q l 1llUl tIy CQ^ 22�
TYPE OF RESIDENCE
multiple, mobile home,
TYPE OFrBUSINESS
BRIEF 'DESCRIPTION OF "HOW THE BUSINESS WILL OPERATEjj/j�e,
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES
V OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN An IN A
• HOUSE (EXCLUDE GARAGE) // VALI
LOCATION AND SQUARE FOOTAGE OF AREA OF APR 0'3 199
BUSINESS ACTIVITY IN HOME (EXAMPLE, j�
"BEDROOM - 125 S.F.Mr. I
By
DESCRIPTION OF MACHIN RY, EQU PMENT, AND SUPP/IES BEING
BUSINESS OPERATION .•O.5 r .,gr c� %Qols V/'�'/_r,
,��' - 'I,
s�T//.'�
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A -HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
PPL CANT IGNATURE DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED.
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.
Buildi and Safety Department
APPROVED BY E DATE 41- 7-
CONDITIONS ATTACHED
DENIED BY DATE