Welch77
HOME OCCUPATION PERMIT
APPLICATION
CITY OF LA OUINTA
78-105 Call* Estado
P.O. BOX 1504
o Qulhto,CA. 82283
. (619) 564-2246
664-2246 PLANNING DIVISION 6/87 1
Read each condition listed on the reverside side of this form to see if
the proposed activity can comply with the City's Home Occupation
Regulations. � d�
TYPE OR PRINT IN INK j
APPLICANT'S NAME a,.lc A-- wla!_c PHONE -1
PROPERTY OWNER 9-,0ca"n 1A5e,E76.1.�� PHONE
PROPERTY ADDRESS 6-1/- lo
(Street)
(City) (State) (Zip)
Type of residence ngle, ultiple, mobile home, etc.)
Type of business "7) 3"'n 4 �� )s Cj c(
Brief description of how the business will operate _.,v e [3 �•�
Nd t---,,MA-,,a ,e -o_, V, //-Z,e,/- `i"'%i fwme e- . NG
Number of persons involved in business
aList names of persons employed J4 -1V r A- wC4c
Square footage of usable floor area in Validation Stamp
house (exclude garage) 10
Location and square footage of area of
business activity in home (example:
bedrooms; 125 square feet)
0C 82 1.0 77i.,i 5.n-07�-8: j.0
Description of machinery, equipment, and supplies bethg use�d4 Nltr&. • J.
3-,.'(0a
business operation DF -5 t - -7/z, r.OA
I have read and understand and agree with the conditions by which a
home occupation is allowed (( Conditions,_.on. reverse side) .
12
PLICANT SIGNATURE DATE
If Applicant is other than property owner, authorization of owner or agent
required.
d /a_
OWNER OR 60t.NT SIGNA7AE 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.
APPROVED 11L Initials
CONDITIONS ATT A HED
DENIED Initials
LQHOMOCC.PRT
Date
Date