Morries aka Dyher73
CITY OF LA QUINTA
HOME OCCUPATION APPLICATION
/ O-lU7 l d11C LS Lauf)
P.O. Box 1504
La Quinta, CA 92253
(619) 564-2246
*__-LL -L;--
Read each condition listed on the attachment to this form to see if the
proposed activity can com`ly with the City's Home Occupation Regulations.
APPLICANT'S NAME
PROPERTY OWNER
I
PHONE
PHONE -%'%/ — VO p L
PROPERTY ADDRESS /—Q SCJ l/J 0 U , , C.-,,
TYPE OF RESIDENCE (single, multiple, mobile home, etc.)
TYPE OF BUSINESS
BRIE DESCRIPTION OF HOW 'THE BVSINET, WELL OPERTA U
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) -Lr,
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 S.F.")
DESCRIPTION OF MACHINERY, EQUIPMENT,
BUSINESS OPERATION
VALIDATION STAMP.
00jb82' �0 8902 0.21-0b-91 •SQ
ASH i. TOTi, i ? 0[�
SUPPLIES BEING USED IN THE
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATIO IS ALLOWED (CONDITIONS ATTACHED).
APPLICANT SIGNATURE
IF APPLICANT IS
RE U RED.
THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
-5-92-
DATE
IMPORTANZt: 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.
BAildinq and Safety -Department
APPROVED B 5� ATE �li CONDITIONS ATTACHED
D BY DATE