MASONr
L��'� II"III II'll'I'I II II , /V iVJ \..YJ1t-. LJLui IJ
` P.O. Box 1504
Z 74 La Quinta, CA 92253
CITY OF LA QUINTA (619) 564-2246
may. HOME OCCUPATION APPLICATION
�i 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 V 1441e -S K � 8� PHONE
PROPERTY OWNER-Sa�ir2 -e-PHONE
PROPERTY ADDRESS t11- 61-11 -1 40t-e-//W,/Cc e Lo
TYPE OF RESIDENCE singl �, multiple, mobile home, etc.)
TYPE OF BUSINESS ��OK7�Lc�o 4t.—
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE GlRt�-
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) ��p D
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 S.F.")
DESCRIPTION OF MACHINERY,
BUSINESS OPERATION
4&1:211hlin
AUG 18 1993
AND SUPPLIES BEING USED IN THE
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
APPLICA ft SIGNATURE
TE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGEN'
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.
Buildin and Saftr
ent
APPROVED DATE CONDITIONS ATTACHED
DENIED BY DATE