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CITY OF LA OUINTA 78-105 Calle Estado
P.O. Box 1504
HOME OCCUPATION PERMIT \� La Ouinta, CA 92253
(819)684-2248
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.
-----------------------------
(TYPE OR PRINT IN INK)
340-1312 - work
APPLICANT'S NAME JOSFPH T 1V1A711R PHONE -home
PROPERTY OWNER JOSEPH AND PHYLLIS MAZUR PHONE 564-3719
ROPERTY ADDRESS 52-090 Rim nhnwer
TYPE OF RESIDENCE ( single, multiple, mobile home, etc.) SINGLE FAMILY HOME
TYPE OF BUSINESS VIDEO TAPING COMPANY
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE I WILL GO ON LOCATION
AND VIDEO TAPE SPECIAL EVENTS T TKE i�iEg�I,c, ,BANQUETS,ETC.
NUMBER OF PERSONS INVOLVED IN BUSINESS ONE PERSON ONLY.
LIST NAMES OF PERSONS EMPLOYED JOSEPH L. MAZUR
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) ' 500
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (FSC-APM
';B, eOOMq: 1f25 SQUARE FEET') �•�+1�tt
VALIA,*MP
WYOFLA OUINTA
APR 0 11991
C"� A.' t
DESCRIPTION Sj�SINESS Yr—
DIOOPERATION VibE511AIIIh�A,E4tLt,TTLIfTur
I HAVE READ. UNDERSTW AND AGREE WITH
OCCUPA3'ION IS AI,OWEJI�4NDIAIONS ATTACHED)
L
THE CONDITIONS BY WHICH A HOME am/
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED.
OWNER/AGENT SIGNATURE DATE
tIMPORTANT: 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.
BUILDING i SAFETY DEPARTM NT
APPROVED BY S DATE 3-15—'-14 CONDITIONS ATTACHED
DENIED BY DATE