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` L P.O. Box 1504
La Quinta, CA 92253
Z (619) 564-2246
CITY OF LA QUINTA
�-�--�.�,=�'� 11111111111111111111
OF �HOME OCCUPATION APPLICATION 63
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.
APPLICANT'S NAME ��PHONE
PH cv
PROPERTY OWNER
TYPE OF • • - multiple, mobile home,TYPE OF BUSINESS
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BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED iyz&
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE ( EXCLUDE GARAGE) 6Pko1 1N00 CKMX IGS► STAMP
LOCATION AND SQUARE FOOTAGE OF AREA OFOCT 0 71993 �
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 S.F.") 5 `.QUIL004 AM -0
0Y
DESCRIPTION OF MACHINE Y, EQUIPMENT, AND SUPPLIES BIUSKU IN THE
BUSINESS OPERATION _ �),q 5i c. (9 'r rMs
'6 C -;z- (c— ,
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CO ND IONS BY WHICH A HOME
OCCUP TION IS ALLOWED CONDITIONS ATTACHED).
APPLICANT S NATURE DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGED
REQUIRED.
OWNER/AGENT IGNATURE 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 permit.
Bui.Ldinq and Safety D a tment
APPROVED BY -DATE L�' ��1-� CONDITIONS ATTACHED _
DENIED BY DATE
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