DIAZ`,�aU�^�'� / IIIIIIIII'llll'll"I V P.O.vBox u1504LJ.YVIJ
47 La .Quints, CA 92253
- ? _ (619) 564-2246
CITY OF LA QUINTA
F 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 C ( PHONE��4
PROPERTY OWNER PHONE
PROPERTY ADDRESS ``3- _7 %/ H('—�/2 E ICiI
TYPE OF RESIDENCE (single, multiple, mobile home, etc.)
TYPE OF BUSINESS fi�2V (2 ke_A/ADC7
BRIEF DESCRIPTION OF HOWjTHE BUSINESS WILL OPERATE
. - i ..,,..,... I . _. J// if in APf --..L AA, .fi/.B /_;n/J .Iinr- 71OSP"AiLl/ (Z'"1.4¢]C-'S
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED
�CSQUARE FOOTAGE OF USABLE FLOOR AREA IN
• HOUSE (EXCLUDE GARAGE) -3epx
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXA/M��P,,,L.,E,
"BEDROOM - 125 S.F.") L n) i b I ITL- . 00 qvS. F
DESCRIPTION OF MACHINERY, EQUIPMENT, AND
BUSINESS OPERATION �"1�0/li
�'1f AV%- 1. 1Psi_I!J d.-1 AA %f' 1'J�.. n'1 -0
PAID
SEP 2 21993
BUILDING AND SAFETY DEPT.
UPPLIES BEING USED IN THE
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
ne-rym&TTON IS ALLOWED (CONDITIONS ATTACHED) .
kPPLIC T NATUrE DATE
IF APPLICANT/IS OTHER THP,NI P OPER OWNER, AUTHORIZATION OF OWNER OR AGEN'
REQUIRED. �) .
OWNER/AGENT SIGNATURE ATE
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.
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Building and Safety DRPArtment r�
APPROVE D BY 7 --DATE --;I-[ `'�j CONDITIONS ATTACHED
DENIED BY DATE