HENDERSON13
HOME OCCUPATION PERMIT
APPLICATION
CITY OF LA QUANTA
1•-05 Celle [•t•s.
F.C. Box I5O4
OuinNoCA. •22$1
too*) l64-==4•
y, 664-2246 PLANNING DIVISION . ' 6/dT
/lead each condition listed on the severs 6e side of this form to see It
the proposed activity can comply with the City's Rome Occupation Z v
Regulations. $35.00 fee
TYPE OR PRINT IN INK
APPLICANT'S NAME NORMA L. HENDERSON PHONE(619) 345-3791
PROPERTY OWNER YAULiNE FINCH PHONE # 341 3833
PROPERTY ADDRESS C A]Y pc 32 -ALMS DR
(Street)
LA QUINTA; CA. 92253
(City) (State) (Zip)
Type of residence (Single, Multiple, mobile home, etc.) SINGLE
Type of business TELEPHONE SERVICE & SALES rdM-
B cri tion of how the business will operate WE SERVICE & SALE
ttu INESS pTELEPHONE EOUTPn ENT AIX_4 ;,� QN gUSg396S±TE
Number of persons involved in business CORP. 14YSELF & JACK PF.TERA
• HE WORKS OUT OF HTT J NO EMPLOYEES
List names of persons 2p
Square footage of usable floor
ar a in
house (exclude garage)
Location and square footage of area of
business activity in home (example:
bedrooms; 125.square feet) I v a
Description of machinery�0
r�A INE & T=_
Validation Stamp
00502 10
i TOTAL 10-88 35.0013
and supplies being used in the
I have read and understand an(,� agree with the conditions by which a
home occu tion is a1 0 eQ (•Conditions on reverse side).
AP I SIGNATURE / DATE
If Applicant is other than property owner, authorization of owner or agent
required.
OWNER OR AGENT 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.
APPROVEDInitials
CONDITIONS ATPAC Initials
DENIED
LQHOMOCC.PRT
! - w -bf' Date
Date
TEL' LEPNONE
TELESIS ,
ADVANCED
TELEPHONE E UIPMENT PLANNING
AND SERVICE
Norma Henderson
p
�6�g) 346-4656
p, Box 562
Palm Desert, CA 92261 0562
f`