HAGEce;uy 4 4QQuu�fu,
CITY OF LA QUINTA
78-495 Calle Tampico, P. O.Box 1504, La Quinta,
HOME OCCUPATION PERMIT
D
LQ 0
JAN 0 5 1994
By -
CA 92253
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.
BUSINESS NAME v ,- d _ PHONE
PROPERTY OWNER - o r PHONE (,gip q) j -e, r- ?�
PROPERTY ADDRESS .I:7- v
MAILING ADDRESS 4
TYPE OF RESIDENCE( in 1 , multiple, mobil home, etc.)
TYPE OF BUSINESS ✓rc€ �Gu
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE CC��,.,�
1 /IIS 1, /Ag" a= A&IV4 ,r Afx
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAME OF PERSONS EMPLOYED --(^,O-
• SQUARE FOOTAGE OF USABLE FLOOR AREA
IN HOUSE (EXCLUDE GARAGE) :�o
LOCATION AND SQUARE FOOTAGE OF AREA
OF BUSINESS ACTIVITY IN HOME Q j �,-
(EXAMPLE, "BEDROOM -125 S.F.")
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLI S BEING USED IN THE
BUSINESS OPERATION '- -% 9, c2
I HAVE READ, UNDERSTAND, AND AGR;WITH THE CONDITIONS BY WHICH A
HOME OCCUPA I ALLOWED (CO TIONS ATTACHED).
K -Y' -
APPLICANT IG TURE DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER
OR AGENT IS 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.
• Build and Safet Department
,APPROVED DENIED CONDITIONS ATTACHED
0