COMER1 0
80
HOME OCCUPATION PERMIT
APPLICATION
CITY OF LA QUINTA
TA-IOS Calls Estedo
P.O. BOX 1504
Lo Oulnto,CA. $2253
(616) $64-1246
664-2246 PLANNING DIVISIO6/87—�
Read each condition listed on the reverside si is form to see if
the proposed activity can comply with the City's Home Occupation
Regulations.
TYPE OR PRINT IN INKCC \
APPLICANT'S NAME .�7Anul ,0-A. 06YYyz_ PHONE
PROPERTY OWNER S S/ C-- e� o w PHONE
PROPERTY ADDRESS 6-5- R 6,'ci r i X% e Z
(Street)
(City) (State) (Zip)
Type of residence (Single, Multiple,'' mobile home, etc.) to V `S`2r
Type of business C `erAA) l h 2I L rs J."', ,2, S
Brief description of how the business will operate G a
Number of persons involved in business
• List names of persons employed , Q rTr,-�
Square footage of usable floor area in
USS�� house (exclude garage) r A,y�-Q Validation Stamp
Location and square footage of area of
business activity in home (example: 005182 10 2784 11-02•-88 S.0
bedrooms; 125 square feet) S.0 CASH i TOTAL J. 35.00
Description of machinery, equipment, and supplies being used in the
business operation \)4e— iW' AE,=j` ,x.rrr b,::
I have read and understand and agree with the conditions by which a
home occupation is allowed (Conditions on reverse side).
APPLICANT S GNATURE DATE
If Applicant is other than propert owner, authoorriz tion of owner or agent
requi . ( �r7
OWN OR ENT 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.
• v APPROVED ��(E4^-1 Initials �� Z'�o Date
CONDITIONS ATTACHED
DENIED Initials Date
LQHOMOCC.PRT