BERMANCITY OF LA QUINTA 1017) 7b9—LL4b
-`t 1111111 (IIII IIII IIII , G '` r`"or n+`�` HOME OCCUPATION APPLICATION
38
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.
APPLICANTS NAME Zi�rIn � PHONE
PROPERTY OWNER PHONE -SAI*.e
PROPERTY ADDRESS
TYPE OF RESIDENCE (single, multiple, mobile home, etc.) � e,
TYPE OF BUSINESS u� (A C '�,d e
IEF ESCR'IPTION OF HOW THE BUSINESS WILL OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS _CZ�
LIST NAMES OF PERSONS EMPLOYED d
SQUARE FOOTAGE OF USABLE FLOOR AR A IN
HOUSE (EXCLUDE GARAGE)
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME. (EXAMPLE,
• "BEDROOM - 125 S.F.")
DESCRIPTION OF MACHINERY, EQUIPMENT, AND
BUSINESS OPERATION U A.-- i , -1-� tl I'n
VALER& STAMP
CRY0FLA QUINTA
MAR 151993
-RU'LDING ANo ACCI--
SUPPLI' G USED 'fffVqr'I'HE
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
IF APPLICANT IS OTHER THAN PROPERTY -OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED.
OWNER/AGENT SIGNATURE DATE
=1=r C 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 Partment
i/ APPROVED BY' L DATE _� '/ �- yJ� CONDITIONS ATTACHED
DENIED BY DATE