BROWNLa Quinta CA 92253
(619) 564-2246
CITY OF LA QUINTA
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Di rT"i-HOME OCCUPATION APPLICATION
TYPE OF RESIDENCE (single multiple, mobile home, etc.)
TYPE OF BUSINESS
BRIEF DESCRIPTION OF HOW T)iE BUSINESS W L OPERATE q-) V 42
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) Inc) O VALIDATION STAMP
T
LOCATION AND SQUARE FOOTAGE OF AREA OF _
BUSINESS ACTIVITY IN HOME (EXAMPLE
"BEDROOM - 125 S.F.") B F.D RQ Qn i 13.
DESCRIPT�
BUSINESSION OF OPERAT OPERATION
MACHINERY,(,0t t -LENT, ANIS SUS BOEING USED -;N THE
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
1 S
APPLICANT 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.
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Buildina and Safety Dekatment
10'. -Z
-"143APPROVED B `LDATE -cf-3
DENIED BY DATE
CONDITIONS ATTACHED
1111111 VIII 11111111
45
Read each condi ion. listed
on the attachment
to this form to see if the
proposed activity
can comply with the City's
Home Occupation Regulations.
/G�..�
APPLICANT'S NAME
PHONE
PROPERTY OWNER
��j7 1
PHONE
PROPERTY ADDRESS
TYPE OF RESIDENCE (single multiple, mobile home, etc.)
TYPE OF BUSINESS
BRIEF DESCRIPTION OF HOW T)iE BUSINESS W L OPERATE q-) V 42
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) Inc) O VALIDATION STAMP
T
LOCATION AND SQUARE FOOTAGE OF AREA OF _
BUSINESS ACTIVITY IN HOME (EXAMPLE
"BEDROOM - 125 S.F.") B F.D RQ Qn i 13.
DESCRIPT�
BUSINESSION OF OPERAT OPERATION
MACHINERY,(,0t t -LENT, ANIS SUS BOEING USED -;N THE
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
1 S
APPLICANT 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.
--------------------------------------------------------------------------
--------------------------------------------------------------------------
Buildina and Safety Dekatment
10'. -Z
-"143APPROVED B `LDATE -cf-3
DENIED BY DATE
CONDITIONS ATTACHED
1111111 VIII 11111111
45