SARAGAI I"I'I II"' IIII I"I P.O. Box 1504 - v
13 La Quinta, CA 92253
CITY OF LA QUINTA (619) 564-2246
HOME OCCUPATION APPLICATION
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.
APPLICANT'S NAME PHONE 7% /-a303
PHONE
PROPERTY ADDRESS Ckb LT -7, Cjz?-,r--f
TYPE OF RESIDENCE (single, multiple,,I mobile home, etc.)
TYPE OF BUSINESS �,.��%l 0-�C ✓I S>L/rle,,;�
BRIEF DES1 RIPTION OF HOW THE BUSINESS.WILL OPERATE
f_ _ -r-- - / -- - - /- - -i- -- /L
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN PAID $35.00
HOUSE (EXCLUDE GARAGE) 1"990 VA1J1bRT4WNWAMv
C, j, r#
LOCATION AND SQUARE FOOTAGE OF AREA OF MAY 2 01993 Y,2
BUSINESS ACTIVITY IN HOME ( __,n LE,
"BEDROOM - 125 S.F.") 7�_ �cf � .BUILDING AND SAFETY D
UT
DESCRIPTION OF MACHINERY ES�UIPMENT, AND SUPPLIES BEING USED IN THE
BUSINESS OPERATION 4�-.�_
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
APPtIT,ANT SIGNATURE DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
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 shall be grounds for revocation of permit.
:• Building and Safety DIpartment
APPROVED BY,/DATE Tf "
DENIED BY DATE
CONDITIONS ATTACHED