HALLCITY OF LA QUINTA (619) 564-2246
HOME OCCUPATION APPLICATION
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 VI cN „ �- a PHONE
PROPERTY OWNER PHONE
1 PROPERTY ADDRESS 7e 3 so K aTa
TYPE OF RESIDENCE (single, multiple, mobile home, etc.)
TYPE OF BUSINESS p k r Cl
BRIEF DESCRIPTIOIJ, OF HOW THE BUSINESS WILL OPERAT�
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NUMBER OF PERSONS INVOLVED IN BUSINESS.
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LIST NAMES OF PERSONS EMPLOYED _ BV\01�-,
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE ( EXCLUDE GARAGE)
LOCATION AND SQUARE FOOTAGE OF.AREA OF
BUSINESS ACTIVITY IN HOME. (EXAMPLE,
"BEDROOM - 125 S.F.")�,{�,
By
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEI E
BUSINESS OPERATION • :�-�1"�1-LpN£
I HAVE READ, UNDERSTAND, AND AGREE WITH THE. CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
APPLICANT SIGNATURE DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED.
_J 1 8' •3�-9g
OWNER/AGENT SIGNATURt DATE
=,;PO=TA T: 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 Safety DepartmOnt
APPROVED BY TATE_
DENIED BY DATE _
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