LEWIS�r
.6
� 111111 III11 ���� Ifll �k
'CITY Of LA QUINTI
1$-105 Cells tatese
O.O. sox I504
L. Qu1ntsAA. 92203
K(Gig) Sts - lit 4t
564-2246 PLANNING DIVISION 5/87
lead each Condition listed on the reverside side of this form to see if
the proposed activity can comply with the City's Home occupation
Regulations. $35.00 fee
TYPE OR PRINT IN INK
APPLICANT'S NAME Patricia Lewis PHONE ( 619) 564-3781
PROPERTY OWNER A vin & Patricia Lewis PHONE -'Abbe
PROPERTY ADDRESS 190-919 P P h h l P R t- A r h
La Quinta (street) CA 92253
(City) (State) (Zip)
A V Type of residence (Single, Multiple, mobile hoi;e, etc.) condominium
Type of business Interior Design
Brief description of how the business will operate The part of business
that is conducted from m47 hump i c tgn1 cnhnnA hnnkkconi n.,
and cor_res= nnrlPnra Artual Ali®apt se"taet, fig and
Nsumbeiior)P peiso�'ssnifivgl' 48Wi�el�L&iness one
List names of persons employed none
Square footage of usable floor area in 2,272
house (exclude garage) Validation Stamp
Location and square footage of area of
business activity in home (example: 005182 10 1245 08-01-88 13
bedrooms• 125 square feet) 5.0 CASH i TOTAL i 35.00
Den �90sft.
Description of machinery, equipment, and supplies being used in the
-business operation telephone, typewriter
I have read and understand and agree with the conditions by which a
home occupation is allowed (Conditions on reverse side).
-7 Com_
APPLICANT SIGNATURE DATE
If Applicant is other than property owner, authorization of owner or agent
required.
OWNER OR AGENT SIGNATURE DATE
IMPORTANT: False or misleading information shall be grounds for denying
your Home occupation, or failure to comply with conditions listed on
reverse shall be grounds for revocation of permit.
APPROVED Initials :2,2229Date
CONDITIONS ATTA
DENIED Initials Date
LQHOMOCC.PRT