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ZWANG1] • CITY OF LA QUINTA 78-105 Calle Estado P.O. Box 1504 La Quinta, CA 92253 (619) 564-2246 I IIIIII'lll' II'I IIII TYPE OF RESIDENCE (single, -multiple, mobile home, etc.) TYPE OF BUSINESS �?h l U& BRIEF DESCRIPTION OF HOW THE, BUSINESS WILL OP NUMBER OF PERSONS INVOLVED IN BUSINESS ©IU eF LIST NAMES OF PERSONS EMPLOYED kA SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (.EXCLUDE GARAGE) LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EXAMPLE, "BEDROOM - 125 S . F . " ) ( �;"Co DESCRIPTION OF MACHINERY BUSINESS OPERATION I HAVE READ. UND RSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME OCCUPAT ON IS ALRgyED (CONDITIONS ATTACHED). I /14 19!3 TE IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT REQUIR,ED . r- `�P A0 oil" Of 1 S I GNATI DA 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 Department APPROVED BY DATE q :� CONDLT•IONS ATTACHED �� PM DENIED BY DATE HOME OCCUPATION APPLICATION Read each condition listed on the attachment 62 to this form to see if the proposed activity can comply with the City's Home Occupation Regulations. APPLICANT'S NAMET C� PHONE 17t— t7 (Z PROPERTY OWNER Ci /2(S% L j,J, 7067 PHONE C6L0 PROPERTY ADDRESS J 7 ®A PILL , (A QOJ� I A- CA. 92! 2-!�l TYPE OF RESIDENCE (single, -multiple, mobile home, etc.) TYPE OF BUSINESS �?h l U& BRIEF DESCRIPTION OF HOW THE, BUSINESS WILL OP NUMBER OF PERSONS INVOLVED IN BUSINESS ©IU eF LIST NAMES OF PERSONS EMPLOYED kA SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (.EXCLUDE GARAGE) LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EXAMPLE, "BEDROOM - 125 S . F . " ) ( �;"Co DESCRIPTION OF MACHINERY BUSINESS OPERATION I HAVE READ. UND RSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME OCCUPAT ON IS ALRgyED (CONDITIONS ATTACHED). I /14 19!3 TE IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT REQUIR,ED . r- `�P A0 oil" Of 1 S I GNATI DA 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 Department APPROVED BY DATE q :� CONDLT•IONS ATTACHED �� PM DENIED BY DATE