PORTERJ� Y P.O. Box 1504
`C La Quinta, CA 92253
CITY OF LA QUINTA (619) 564-2246
,�-��,.-��� 11111111111111111111
HOME -OCCUPATION APPLICATION 55
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 °Y .�/U,f%/� PHONE�P��
PROPERTY OWNER PHONE
PROPERTY ADDRESS �3 Ca C `-'4' 1 LZ `
TYPE OF RESIDENCE (sig ng1e,T multiple, mobile home, etc.)
TYPE OF BUSINESS Ll i s f � coef R_�4
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE 46
Land --
11
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED 422
SQUARE FOOTAGE OF USABLE FLOOR AREA IN PAID $35.00
HOUSE ( EXCLUDE GARAGE-�_==z_�--ilJMOM
T � ,
LOCATION AND SQUARE FOOTAGE OF AREA OF NOV O 11993, 12 ;2 -
BUSINESS
BUSINESS ACTIVITY IN H ME (EXAMPLE, BUILDING D SAFETY DEPT.
CUT
"BEDROOM - 125 S.F.") &-/() -2- - 1!97
DESCRIPTION OF MACHINERY, EQ IPT AND SUPPLIES 7BING USED INE
BUSINESS OPERATION - G���- - �
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
ICANT SIGN
O0c7'- .9__�5
DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGE1
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.
Build n and Safetya tment
APPROVED B ATE CONDITIONS ATTACHEDJZ5o _
DENIED BY DATE
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A
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COUNTRY
CLUB,
HOMEOWNERS
'A-SSOCIA-T-IO'N