SMOOTC,I IIIIII IIIII'lll l�'I P.O. Box 1504
La Quinta, CA 92253
54 CITY OF LA QUINTA (619) 564-2246
r' y oI n,; �HOME OCCUPATION APPLICATION
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.
APPLICANT'S NAME
PROPERTY OWNER
PROPERTY ADDRESS
TYPE OF RESIDENCE (single,
TYPE OF BUSINESS
ile home, etc.)
BR DESCRIPTION OF. HOW THE BUSINESS WILL OPERATE
r 5Q
NUMBER OF PERSONS INVOLVED IN B
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN rA10$35.00
HOUSE (EXCLUDE GARAGE) -VKHMMASTAMP
LOCATION AND SQUARE FOOTAGE OF AREA OF %Ay 18 1993 60,
• BUSINESS ACTIVITY IN H M LE,
"BEDROOM - 125 S.F.")
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEAG USE IN THE
BUSINESS OPERATION
I HAVE READ., UNDERSTAND, AND AGREE WITH THE CONDITIONS. BY WHICH A HOME
OC ATION S ALLOWED (CONDITIONS ATTACHED).
l
P C T S GNAT D E
IF APPLICANT IS OT ER THAN PROPERTY OWNER, AUTHORIZATION OF OWNFR OR AGENT
REQUIRED.
' L tN 61 u 1 NT1q
OWNER/AGENT SIGNATURE 5-T-73 DATE
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.
•Buildina and Safety Deva Aent
APPROVED BY DATE CONDITIONS ATTACHED
DENIED BY DATE