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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