DUNCAN•
ss
ACTY OF LA QUINTI
HOME OCCUPATION PERMIT
APPLICATION
78405 C6110 t.t6se
P.O. •ox Iso•
�. QuInto,CA. •2253
,1619) 664-1146
664-2246 PLANNING DIVISION�'�� 6/87
Fe -ad each condition listed on the reverside side of this form to see it
the proposed activity can comply with the City's Nome Occupation
Regulations. $35.00 fee
TYPE OR PRINT IN INK
APPLICANT'S NAME
PROPERTY OWNER_
PROPERTY ADDRESS
PHONE 5 (o LI - (oO G3
rrii
(City) estate)
RECEIV E U Type of residence (Single, !Multiple, mobile home, etc.) SITx!a Q.
SEP 19 Type of business 0 FAA cx�
CITY OF LA QUINTA Brief description of how the business will operate T, Make vnArr�a �u
PLANNING & DEVELOPMENT DEPT. A -o snU !� szkxo Js (ar� ym)"At awed , Vr %JLL ord�g-
Number of persons involved in business mases - r\0
• List names of persons employed 1)C�n 9.
Square footage of usable floor area in
house (exclude garage) Ckou.k- __ Validation Stamp
Location and square footage of area of i( -Do- ji%WAQ9;19-8835.00 10
G�_„dv^ business activity in home (example:
h bedrooms; 125 square feet)
C` l oso_Q'
Description of machinery, equipment, and supplies being used in the
business operation T:Xl n- c�AA- far- ��rs.o in - so 1O�
I have read and understand and agree with the conditions by which a
home occupation is allowed (Conditions on reverse side).
APPLICANT G A DATE
If Applicant is other than property owner, authorization of owner or agent
required.
OWNER OR AGENT SIGNATURE DATE
IMPORTANT: False or misleading information shall be grounds for denying
your Home Occupation, or failure to comply with conditions listed on
reverse shall be grounds for revocation of permit.
y APPROVED Initials 1911918's Date
CONDITIONS ATTACHED
DENIED Initials Date
LQHOMOCC.PRT