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OGLESBYI'��1� I VOU V JBox 150 150 4yJ LYIJV P.. La Quinta, CA 92253 7 (619) 564-2246 CITY OF LA QUINTA •l IIII IIII' I'll IIII ray n�TM �` HOME OCCUPATION APPLICATION 79 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�1�l9l��ri�A �GL�S,131' PHONEC�/�� PROPERTY OWNER PHONE PROPERTY ADDRESS Aizl TYPE OF RESIDENCEingl multiple, mobile home, etc.) TYPE OF BUSINESS BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE Merl ffKs NUMBER OF PERSONS INVOLVED IN BUSINESS ©A ' LIST NAMES OF PERSONS EMPLOYED A jPL IC^" -r CSN/..1- SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE ( EXCLUDE GARAGE) 3'/0 D CMIUMlU OM STAMP '!'� LOCATION AND SQUARE FOOTAGE OF AREA OF OCT 0 1993 /U S - BUSINESS ACTIVITY IN HOME (EXAMPLE, "BEDROOM - 12 5 S. F. ) OFA/� — l6 o.Sr BY DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS OPERATION I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME OCCUPATION IS ALLOWED (CONDITIONS ATTACHED). /o -pq--q 3 APPLICANT VIGNATURDATE IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGE1 REQUIRED. OWNER/AGENT SIGNATURE 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. Buildinq and Safety Department APPROVED BYDATE I CONDITIONS ATTACHED4&11�-� _ DENIED BY DATE