LQ Palms Realty60
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• FEE $35.00
CITY OF LA QUINTA
78-495 Calle Tampico, P.. O.Box 1504, La Quinta, CA 92253
HOME OCCUPATION PERMIT
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 'CU -P:?`J-Sioya 14-5 PHONE LLQ (
PROPERTY OWNERo PHONE
PROPERTY ADDRESS eq. 2
MAILING ADDRESS -<-,4 1A
TYPE OF RESIDENCE (��, multiple, mobil home, etc.)
TYPE OF BUSINESS
BRIEF DESCRIPTION OF HOW THE AUSINESS WILL OP TE ZW01 '%rjirC4
s&x -:�F
NUMBER OF PERSONS INVOLVED IN BUSINESS 0 YX
LIST NAME OF PERSONS EMPLOYED
• SQUARE FOOTAGE OF USABLE FLOOR ARE
IN HOUSE (EXCLUDE GARAGE)
LOCATION AND SQUARE FOOTAGE OF AREA
OF BUSINESS ACTIVITY IN HOME FE
(EXAMPLE, "BEDROOM -125 S.F.") S 7995
DESCRIPTION OF MACHINERY ND SUPPLES B' D IN THE
BUSINESS OPERATIO
I HAVE R D AND, AND A �E CONDITIONS'=BY WHICH A--
HOME C S ALLOW -(CONDI CHED).
APPL NATUR DATE
IF AP IC OTHER THAN PRO ER, AUTHORIZATION OF OWNER
OR AG IS REQ
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
PERMIXnq
• Buil-and-Safety Department
APPROVED DENIED. CONDITIONS ATTACHED