CHRISTIE1111111 VIII 11111111
37
FEE $35.00
CITY OF LA QUINTA
�, Gv
APR 2R 1995
FyNrE CAT
5661 99 ��V3S
r
_Quirli. CA -92253
CITY OF LA QUI
78-495 Calle Tampico, P. O.Box 1504,
HOME OCCUPATION PERMIT
Read each condition listed on the attachment to this form to see if
the proposed activity can comply with the City's Home Occupation
Regulations.
BUSINESS NAME A14, A&04fTl,vr PHONE 564 -e 9
PROPERTY OWNER PHONE St4 - 3obq
PROPERTY ADDRESS .5/891 614zJ*ZA XA A -A ct ✓igJ , A CA V2 3
MAILING ADDRESS At, Amor
TYPE OF RESIDENCE (single, multiple, mobil home, etc.) 51Aj&4`
TYPE OF BUSINESS A,1A .ger-1A r
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE -
.Di
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAME OF PERSONS EMPLOYED Z/4-ce -e Aa �l ziST/E
• SQUARE FOOTAGE OF USABLE FLOOR AREA
IN HOUSE (EXCLUDE GARAGE) T-/10�
LOCATION AND SQUARE FOOTAGE OF AREA
OF BUSINESS ACTIVITY IN HOME
( EXAMPLE , "BEDROOM -125 S.F.")
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE
BUSINESS OPERATION`�4� : < auk; �To ?wRe--1A5,-6 a>2 -,e)
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A
HOME OCCUPATION IS ALLOWED (CONDITIONS ATTACHED)• x 9S
APPLICANT SIGNATURE DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER
OR AGENT IS REQUIRED.
OWNER/AGENT SIGNATURE DATE
IMPORTANT: FALSE OR MISLEADING INFORMATION SHALL BE GROUNDS FOR
DENYING YOUR HOME OCCUPATION; FAILURE TO COMPLY WITH CONDITIONS
Y,ISTED .;,ON. THE ATTACHED PAGE SHALL BE GROUNDS FOR REVOCATION OF
BUi -i,n� and SaFet De artment______________________s----=______
- APPROVED DENIED CONDITIONS ATTACHED