STANLEYt
,At 111 WNEW.
03
CITY OF LA QUINTA
78-105 Calle Estado
P.O. Box 1504
La Quinta, CA 92253
(619) 564-2246
• FF'`'o TM "- 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 �-_rf-en `P A✓icdd Stkn [-P,k T PHONE 5(Pq--7-7 L R -
PROPERTY OWNER �LQPS _rA rL1t E Ccs ! 2 PHONE g-
PROPERTY ADDRESS
TYPE OF RESIDENCE (single,multiple, mobile home, etc.)
TYPE OF BUSINESS zLsc , ( SECQ
BRIEF DESCRIPTION OF HOW -THE BUSINESS.WILL OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS 0—
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) L1+6 ,0
. LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 S.F. ") l&&rNl /(jr-r-1 CE 130sf
PgAID $35.00
VRLID TAMP.
JAN 61992
BUILDING AqI ETY DEPT.
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED .IN THE
BUSINESS OPERATION ►�)(7n )f',
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
'a 7 /,h n i ..
-3
APPLICANT SIGN
E61N0D1
IF_APPLICANT IS OTHER THAN PROPERTY'OWNER, AUTHORIZATION OF OWNER OR AGENT
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.
Buildin nd Safety Department
G�APPROVED BY - DATE _ CONDITIONS ATTACHED
DENIED BY DATE