RUTLEDGE_. `'i.°%���,\cII"IIIIII'IIIIII"I P.O.vBoxu1504L0v""�
_ 25 -1 La Quinta, CA 92253
-- -
CITY OF LA QUINTA (619) 564-2246
HOME OCCUPATION APPLICATION
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 vPHONE q- S6 0.7
PROPERTY OWNER IC -CLC Q1,j Gl f PHONE y� C
PROPERTY ADDRESS S (- 9Y O (M CC 0 �� �y r" ✓� �G ('C-
TYPE
'GTYPE OF RESIDENCE (single, multiple, mobile home, etc.) S Act
TYPE OF BUSINESS 0-00/ (/ea fl (�0O)
EF DESCRIPTION OF /HOW THE BUS�NESS
c �. C /FQ vi /l /10 S -�
NUMBER OF PERSONS INVOLVED IN BUSINESS n (2 -
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) 1660
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 S.F.") /)-0
Wvjffi. c z�
AUG 3 Q 1993
DESCRIPTION OF MACHINERY/, EQUIPMENT, AND SUPPLI IDIr
BUSIN, SS O FRATION _ C' t5 � A 'r u s ke..3
OL a C t VA
/yy
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
LICANT SIGNAI)PCE DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATI:ON�OF OWNER OR AGEN'
REQUIRED. x..
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.
Building and Safety rpartment
APPROVED BYDATE 3 CONDITIONS ATTACHED
DENIED BY DATE