SCOVELIV 1 V -0 L J 1 "%.A %J
P.O. Box 1504
La Quinta, CA 92253
CITY OF LA QUINTA (619) 564-2246
HOME OCCUPATION APPLICATION 38
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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"1Gf � (k Eli ZCibe-j� C04d PHONE 612-3 `2512-
PROPERTY
75%ZPROPERTY OWNER M Gt f K & -E( i �a bck 5c-oy PHONE
PROPERTY ADDRESS -Mao-Fori25 CIrde 4.� 0gihfq C4 `I2Z!13'`
TYPE OF RESIDENCE (single, multiple, mobile home, etc.) S/h1le
TYPE OF BUSINESS CcsTr SOffWa(&C0h5ul
BRIEF DESCRIPTION OF HOW THE BUSILN�ESS WILL OPERATE We, w►ll de5jlh sof-�w�re
x Al /' rP AP I�- G NJ iDefTrifMil CUL] Slt �TIY��
NUMBER OF PERSONS INVOLVED IN BUSINESS 2 WO)
LIST NAMES OF PERSONS EMPLOYED A4 fk SCaVel E11:--;-gb4 5coyC
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) 2100
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 S.F.") (3edroom -1005f
DESCRIPTION OF MACHINERY, EQUIP]
BUSINESS OPERATION Pef5oyx( cot.,
A U G 1 1993 9z
BY , .
AND SUPPLIES BEINd USED IN THE
5 awd d r,L-krs
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
APPLICANT SIGNATURE
f3
DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGEN-
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.
________________
Building and Safety Department
APPROVED BY U DATE CONDITIONS ATTACHED
DENIED BY DATE