CULLENT
/V iVJ L.71 41..UlJ
IIIIIIIIIIIIIIIIIIII 1504
41 La ntaCA 92253
CITY OF LA QUINTA (619) 564-2246/'
HOME OCCUPATION APPLICATIONco
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 NAME1r n PHON
PROPERTY OWNER MI iC,6&61 C - c" l l e c'n PHONE
PROPERTY ADDRESS -rk rm.
TYPE OF RESIDENCE_ngl, multiple, mobile home, etc.)
TYPE OF BUSINESS f`N ► Q (�i
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED
- PAID $35.00
SQUARE FOOTAGE OF USABLE FLOOR �.EA IN CRY
HOUSE (EXCLUDE GARAGE) Moos VALIDATION ST,
AUG 1 Z 1993
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME ( EXAMPLE, BUILD n t101EF
"BEDROOM - 125 S.F."),d oe*
DESCRIPTION OF MACHINERY EQUIPMENT, AND SUPPLIES BEING USED IN
BUSINESS OPERAT;ON c. ALa19! c,s� �C'.& LA0 V&M A mat
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICK A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
1% •
SIGNATURE
DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGEN`
REQUIRED.
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.
Building and Safetyrtment
APPROVED B DATE -4 -7 3 CONDITIONS ATTACHED
DENIED BY DATE