BATTIN11111111111111111111
Vk 22 /CITY OF LA QUINT
HOME OCCUPATION PERMIT
APPLICATION
16-105 tett. Eatese
F.C. BOX 1504
e Oulnte,CA.02259
.(m) 564-n*$
664-2246
3
PLANNING DIVISIONj?
6/87
ead each
Condit on
listed on the r verside side o this
form to see 17
•
the proposed activity can comply with the City's Home Occupation
Regulations. $35.00 fee
TYPE OR PRINT IN INK
APPLICANT'S NAME I\b r 1 I E . Ar -A ttj .n PHONE
PROPERTY OWNER MroA a S ara-f +,'yl PHONE �T„ U -- (it (n (1
PROPERTY ADDRESSFsT� �h r--,� rr tm e---
(Streetl
Com,. G2zc:; i
(City) (State) (Zip)"
Type of residence (Single, Multiple, mobile home, etc.)�-5
Type of business UA ,� r�v QN-6 G *CC j 1'-"
brief, descr}ption of how the business will operate We W 0 QLEC
Number of persons involved in business 2
List names of persons employed M
!�
Square footage of usable fl z area in
house (exclude garage)
Location and square footage of area of
business activity in home (example:
bedrooms; 125 square feet)
U i �t
Description of machinery, equipment, and
business operation
Validation Stamp
005182 0 2014 09-22-88 i0
10 CASH i TOTAL J. 35.00
being used in the
I have read and understand and agree with the conditions by which a
home occupation is allowed (Conditions on reverse side).
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.
40 9 0
"PROVED Initials
CONDITIONS ATTR ED
DENIED Initials
LQHOMOCC.PRT
Date
Date