LUNDP.O. Box 1504
La Quinta, CA 92253
CITY OF LA QUINTA (619) 564-2246
.�'=-�-W1111111 IIIII IIII IIII
rFy of rt+� °` HOME OCCUPATION APPLICATION 49
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 ,L5/`y
PHONE
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PROPERTY OWNER .ftp
PHONE
PROPERTY ADDRESS 72-gt.T 11I«E7A
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TYPE OF RESIDENCE (single multiple, mobile
home, etc.)
TYPE OF BUSINESS
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BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
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NUMBER OF PERSONS INVOLVED IN BUSINESS /
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LIST NAMES OF PERSONS EMPLOYED —�
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
PAID
HOUSE (EXCLUDE GARAGE)
VAUMATaft STAMP.
LOCATION AND SQUARE FOOTAGE OF AREA OF
•
'UN 2 3 1993
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BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM
BUILD
- 125 S.F.") DE3X r1 -A&4 .5a .3 F.
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DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING US
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BUSINESS OPERATION dCaj
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I HAVE READ, UNDERSTAND, AND AGREE WITH THE
CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
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APPLICANT IGNATUR
DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
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.
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Builging and Safety I)epartment
APPROVED BZJL-1--DATE CONDITIONS ATTACHED
DENIED BY DATE