WRIGHT•�-�(;lu � I IIIIII IIII' I'll IIII -� 78-105 Calle Estado
^= • '% P.O. Box. 1504
09 La Quinta, CA 92253
CITY OF LA QUINTA (619) 564-2246
r`M �F T -,OL, W /X( HOME OCCUPATION APPLICATION
• Read eac c dition listed on the attachment to this form to see if the
proposed activity can comply with the City's Home Occupation Regulations.
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APPLICANT'S NAMEI PHONE 5% `t' -74`'/3
PROPERTY OWNER f{- �,( �- PHONE
PROPERTY ADDRESS �61 -0 70 � l �E%� •� TA. G7 LA- �2u i At rA C,4- L`4'22S3
TYPE OF RESIDENCE (single, multiple, mobile home, etc.) S /Ai(--L-IL
TYPE OF BUSINESS C'e.4-P �
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
A- r" f- p" E Z22 !- L A-7_ t -14 F- S iX F E_r- FA -1k 4- r_-0 67 -14E -AZ
NUMBER OF PERSONS INVOLVED IN BUSINESS f
LIST NAMES OF PERSONS EMPLOYED //}-%�(C y ��{`'. I �-(+
SQUARE FOOTAGE OF USABLE FL OR AREA IN
HOUSE (EXCLUDE GARAGE) ,Z V4 ON STAMP
•LOCATION AND SQUARE FOOTAGE OF AREA OF MY OF U 6&WTA
BUSINESS ACTIVITY IN HOME (EXAMPLE, APR 131992
"BEDROOM - 125 S.F.") AP—R aNP D 51
DESCRIPTION OF MACHINERY, EQUIPMENT,
AND SUPPIIWESDBEING 5 i1 THE
BUSINESS OPERATION r� 1►� 1 C-�A6� +�1'S Ic , STN E
F EA7T1+ e- 14S
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWE (CONDITIONS ATTACHED).
:2. 70 1A
APPLICANT SIGNA URE DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED.
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 permit.
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• B'ui/ldinq and Safety Department
APPROVED BY %/ DATE �*44PO*CONDITIONS ATTACHED
DENIED BY DATE