PEREZI
0
CITY OF LA QUINTA
HOME OCCUPATION APPLICATION
78-105 Calle Estado
P.O. Box 1504
La Quinta, CA 92253
(619) 564-2246
Read each condition listed on the attachment to this form to see if the
proposedactivity canComplywith the City's Home Occupation Regulations.
APPLICANT'S
PROPERTY IDRESs5Ib
ER -A& ANY C �� LPl n j
PROPERTY GLK-o
PHONE�y"��
PHONE$
*u M1
TYPE OF RE( IDENCE (single, le -multiple,
\ gmobile home etc.)
TYPE OF
BRI
HOW THE
LL �OPWTE
NUMBER OF PERSONS I VED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED A ynrnv% ? AIV,0-7
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (.EXCLUDE GARAGE) _/
LOCATION AND SQUARE FOOTAGE 0
BUSINESS ACTIVITY IN HO F AREA OF
"BEDROOM - 125 S.F.")�'
DESCRIPTION OF MACHINERUIP12ENT, AND SUPT
BUSINESS OPERATION A i
-vr-WJLWW& lN= STAMP
AUG 0 3 1993 a--41-1604
BEING USED IN THE
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
SI
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED.
IMPORTANT:V False or misleading information shall beounds od-
your Home Occupation; failure to comply with conditions listedontheing
attached page shall be grounds for revocation of permit.
Buildilig and Sam D artment
APPROVED B ZDAT
E 3
DENIED BY DATE
CONDITIONS ATTACHED