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NETZLRY• 11111111111111111111 36 FEE $35.00 M CITY OF LA QUINTA 78-495 Calle Tampico, P. O.Box 1504, La Quinta, CA 92253 HOME OCCUPATION PERMIT 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. ----------------------------------------------------------------- ----------------------------------------------------------------- BUSINESS NAME A)Q- 'z.(Qy (94r,4"R PHONE PROPERTY OWNER y41 k ZJ ky PHONE PROPERTY ADDRESS .S'2- -33 i MAILING ADDRESS 5k- Z -?3 1/'//A S% 4. N -,'--4A GE) A 22 s-? TYPE OF RESIDENCE (sib, multiple, mobil home, etc.) TYPE OF BUSINESS Qi---, BRIEF DESCRIPTION pNO�F.,HO W T ROB71SINESS WILL OPERATE w NUMBER OF PERSONS INVOLVED -IN BUSINESS 'Z, LIST NAME OF PERSONS EMPLOYED 6ggh)►j /(%z�2 eu P,,,, P; A+,•n SQUARE FOOTAGE OF USABLE FLOOR AREA /vim hail S7RI IN HOUSE (EXCLUDE GARAGE) 2 P J LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME ( EXAMPLE , "BEDROOM -125 S.F.") /©0 -39 - DESCRIPTION OF MACHINERY, EQUIPMENT, AND YPPLIES BEING USED IN THE,,, BU NESS OPERATION wcv 1y1oW�aQ S lotyQ� ��Oq e 7.e v KI #: IR- V-, I HAVE READ, UNDER TAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOP O C P IO LOWED (CONDITIONS ATTACHED). r C f `y9v APPLI AN G TUBE DATE IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT IS 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. -------- -------------------- --------------- Safety Department APP VED DENIED CONDITIONS ATTACHED 0