Bonette•
!8-lub Calle Estado
I I"III II'll IN I11I P.O. Box 1504
47 La Quinta, CA 92253
CITY OF LA QUINTA (619) 564-2246
HOME OCCUPATION APPLICATION
e�
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 SC�'-1 -SS
PROPERTY OWNER ���Cic� PiD o -)q rf- ` - PHONE 6-6 `' ` ara
PROPERTY ADDRESS
TYPE OF RESIDENCE (single, multiple, mobile home, etc.) A.6
TYPE OF BUSINESSr ^Lj
BRIEF DESCRIPTION OF HOW THE BUSIN SSS WILL .OPERATE cJ� 1 CGt I
Gc r' h 6
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED . L r6,_ L6, e
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) I-a.CC) VAL STAMP.
LOCATION AND SQUARE FOOTAGE OF.AREA OF
BUSINESS ACTIVITY IN HOME (EXAMPLEt JAN 2 21393
"BEDROOM - 125 S.F.")
C�Dse - BUWIN ��pp������I
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIE& BEI&TSEIT'HE
BUSINESS OPERATION
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
APPLICANT SIGNATURE U DATE"
IF APPLICANT IS OTH R THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED. P.9t�,S �Ci; c.
Pte4J6_/=LArJ0U),0
I Q
OWNER/AGENT SIGNATURE / 16ATE
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.
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Building and Safety Department N X10
APPROVED ;BY DATE -`� CONDITIONS ATTACHED
`-DENIED BY DATE