HANOVSEKFEE $35.00
CITY OF LA QUINTA
1 (1'111 VIII 11111111
72
78-495 Calle Tampico, P. O.Box 1504, La Quinta, CA 92253
HOME OCCUPATION PERMIT
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.
BUSINESS NAME (�A1 W*I LA �ba_C0►31ST• T-tICG PHONE (&tcl) 3(0o-(o(oOZ
PROPERTY OWNER )AMFc, 4AE jo�,sF-K-- PHONE((oi-j \ :�sCaO cac;S4-
PROPERTY ADDRESS -76-710 c_.,4 A. 04. LA C�gOTA- 0(A. Ct2--Ls3
MAILING ADDRESS PO. ZSco
TYPE OF RESIDENCE(multiple, mobil home, etc.)
TYPE OF BUSINESS G-S� /Sc���n�Mwtr RSL L�►�sr�yc�ri �v
BRIEF DESCRIPTION OF HOW THE B10SINESS WILL OPERATE
_ `= 0
NUMBER OF PERSONS INVOLVED IN BUSINESS 3
LIST NAME OF PERSONS EMPLOYED �A"SS Ny4No�15EaL (��i-A�L+�N�Ny�E�
. SQUARE FOOTAGE OF USABLE FLOOR AREA (r�pN��.r-�
IN HOUSE ( EXCLUDE GARAGE) -�M i (p50t
LOCATION AND SQUARE FOOTAGE OF AREA
OF BUSINESS ACTIVITY IN HOME
( EXAMPLE , "BEDROOM -125 S.F.") D ?-C�QM h,7u o-1 too ` • -t— .
DESCRIPTION OF MACHINERY, EQUIPMENT,• AND SUPPLIES BEING -USED IN THE
BUSINESS OPERATION I TOr-i ICA(-TP-UCY-
I HAVE REA , UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A
HOME O C P TION IS AL WED (CONDITIONS ATTACHED).
SIGNATURE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER
OR AGENT IS REQUIRED.
OWNER/AGENT SIGNATURE DATE
IMPORTANT: FALSE OR MISLEADING INFORMATION SHALL BE GROUNDS FOR
DENYING YOUR HOME OCCUPATION; FAILURE TO COMPLY WITH CONDITIONS
LISTED ON THE ATTACHED PAGE SHALI.,'BE GROUNDS FOR REVOCATION OF
PERMIT. •r
Building and SafetV Department =__
r APPROVED DENIltD. CONDITIONS ATTACHED X,
L(c.E.AJsf