CROFFTYPE OF RESIDENCE frjIngle multiple, mobile home, etc.)
TYPE OF BUSINESS Trjt i+1.V C.
BRAEF DESCRIPTION OF HOW THE BUSINESS WILL_OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS 2 -
LIST NAMES OF PERSONS EMPLOYED 19 --
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE ( EXCLUDE GARAGE) /(n %
LOCATION AND SQUARE FOOTAGE OF'.AREA OF
BUSINESS ACTIVITY IN HOME.(EXAMPLE.r��''�
"BEDROOM - 125 S.F.") _A,/jr,he I'Z
PAID $35.00
V� AMP
FEB 181993
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEIN USE IN THE
BUSINESS OPERATION pd�+ioV+ti-r 4cutia 1^00-ChtNe- j= -1(e CQ6.�G-�
I.HAVE READ, UNDERSTAND, AND AGREE WITH' THE CONDITIONS BY WHICH A HOME
OCCUPATI ALLOWED (CONDITIONS ATTACHED).
APPLICANT SIGNATURE DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED.
OWNER/AGENT SIGNATURE DATE
=IM P OF itu:m: 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.
Bui din and Safety Department
APPROVED BY �V DATE CONDITIONS ATTACHED
DENIED BY DATE
I IIIIII IIII' IIII IIII
06
Vul111-ar LH y1153
CITY
OF LA QUINTA
(619) 564-2246
'► l
FTyA"t
HOME OCCUPATION APPLICATION ��
.�'RR?ead each condition listed on the
proposed activity can comply with
attachment to this form to see if the
the City's Home
Occupation Regulations.
APPLICANT'S NAME
PHONE ✓r 4
PROPERTY OWNER
5**t &t
PHONE S -
PROPERTY ADDRESS
%d'63s S¢ g vhf
TYPE OF RESIDENCE frjIngle multiple, mobile home, etc.)
TYPE OF BUSINESS Trjt i+1.V C.
BRAEF DESCRIPTION OF HOW THE BUSINESS WILL_OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS 2 -
LIST NAMES OF PERSONS EMPLOYED 19 --
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE ( EXCLUDE GARAGE) /(n %
LOCATION AND SQUARE FOOTAGE OF'.AREA OF
BUSINESS ACTIVITY IN HOME.(EXAMPLE.r��''�
"BEDROOM - 125 S.F.") _A,/jr,he I'Z
PAID $35.00
V� AMP
FEB 181993
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEIN USE IN THE
BUSINESS OPERATION pd�+ioV+ti-r 4cutia 1^00-ChtNe- j= -1(e CQ6.�G-�
I.HAVE READ, UNDERSTAND, AND AGREE WITH' THE CONDITIONS BY WHICH A HOME
OCCUPATI ALLOWED (CONDITIONS ATTACHED).
APPLICANT SIGNATURE DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED.
OWNER/AGENT SIGNATURE DATE
=IM P OF itu:m: 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.
Bui din and Safety Department
APPROVED BY �V DATE CONDITIONS ATTACHED
DENIED BY DATE
I IIIIII IIII' IIII IIII
06