GILL1�
664-2246
Read each co
the proposed
Regulations.
TYPE OR GRIN
'CITY OF LA QUINTI
70-105 Celle 118tese
P.O. Box 1504
Le Oulnto,CA.92205'
K(SM 964-=:4s
PLANNING DIVISION 6/87
tion listed on the reverside side of this form to see
ti ply with the City's Some Occupation
.00 fee
APPLICANT'S NAME
1 PROPERTY OWNER';
Y
PROPERTY ADDRESS
(Street)
e,4 Q.111rA - CFI.
(City) (State) (Lip)
PHONE 3 60 O
PHONE —
f-,
Type of residence (Single, !Multiple, mobile home, etc.) 5,1/V 4y_ -
Type of business 111AWtr'4747GQ'>
Brief description of how the business �jill operate EC.0/iVtV1(.�
r
Number of persons involved in business d A1E
List names of persons employed 06&AhW 1:�—Iu_
Square footage of usable floor area in
house.(exclude garage) 1200 A%PP9gX Validation Stamp
Location and square footage of area of
business activity in home (example: 005t82 tO 2636 10-25--88t3
%S /�PPP.�X
bedrooms; 125 square feet) 3.0 CASH 1 TOTAL 35.00
.
Description of machinery, equipment, and supplies being used in the
business operation i 7-gz Hoc/F / �essli�TL
I have read and understand and agree with the conditions by which a
home occupation is allowed (Conditions on reverse side).
r
OCT
APL ANT SIGMA DATE
If plicant�16 oth than roperty owner, authorization of owner or agent
re i ed. w
OWNER OR ASI" 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.
f ,/f f f • • f f f f • f f
v APPROVED Initials i —,-LS� Sg_Date
CONDIT16NS ATTACHED
DENIED Initials Date
LQHOMOCC.PRT