SanchezI IIII'I'lll' IIII III
59
• FEE $35.00
CITY OF LA QUINTA
78-495 Calle Tampico, P. O.Box 1504, La Quinta, CA 92253
HOME OCCUPATION PERMIT
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..
CgdvSS�-� -,s�v
BUSINESS NAME HArRtOS-(g0A6th/A/F55P Q�N-E 5&y ssisa7'EXT-334z`3,33id,337/
PROPERTY OWNEA II.rA QIII=1 N-DUSIh121 r -b Q �1 7 vNE ,37�
PROPERTY ADDRESS S� -S(v5 ,�� S�It//I K 4-I4 dvlr j
MAILING ADDRESS SA• -OVA. - P -S Ai8,0 ,
TYPE OF RESIDENCE (single, multiple, mobil home
TYPE OF BUSINESS rii9U6It W,6S'
, etc.)
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE K6�-GP )=!L
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAME OF PERSONS EMPLOYED 10 11 /A\
• SQUARE FOOTAGE OF USABLE FLOOR AREA
IN HOUSE (EXCLUDE GARAGE) _- D 2�2 I SEP 6
X99 .
LOCATION AND SQUARE FOOTAGE OF AREA g�
OF BUSINESS ACTIVITY IN HOME
(EXAMPLE, "BEDROOM -125 S.F.")
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES' BEING U ED IN THE
BUSINESS OPERATION
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A
HOME OCCUPATION IS A OWED D DITIONSACHED).
7I ZQ/LG'U ..��ltc -,2,5--- 015
APPLICANT- SIGN DATE
IF APPLICANT IS' OTHER -THAN PROPERTY OWNER, AUTHORZZNT.I—ON<.•OF OWNER,
OR AGENT IS REQUIRED:R
OWNER/AGENT S.IG41�E' DATE "mb
' i' ' - h A
IMPORTANT':+. •FALSE OR MIS•I:�AD�%.NC'�•.INFORMATION ��i.�1�.- • 9E 'GROUNDS•- �'OR
DENYING Y0t7R ,HOME OCCUPAT.I01; P" ►ILPRE TO C mii -IF WITH CONDIT:I'ONS-
LISTED• ON `� THE' ATTACHED PAGE SHALL BE GROUlib FOR ' tEVOCATZO { =SOF
PERMIT.
Buil and Safet� De artme'
-APPROVED -DENIW CONDITIONS ATTACHED
•
4
78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) 777-7000
FAX (619) 777-7101
Dear Business Owner:
If your company has employees, a copy of the workman's
compensation policy must accompany the business license
application, indicating dates of coverage and dollar amount.
This proof of coverage must be received before the business'
license can be processed.
If you do not have employees, please check the last line on the
first page: "I certify that...."
If your business is being operated from your home in La Quinta, a
Home Occupation Permit is required before a business license is
issued. Approval of the Home Owners Association is also required
if you live in a gated community.
If you have any questions, please contact me.
Sincerely,
Ellie Shepherd
Building & Safety
• buslic.hoc
MAILING ADDRESS - P.O. BOX 1504 - LA OUINTA, "CALIFORNIA 92253 �,