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FEE $35.00 JAN 0
196
CITY OF LA QUZNTA Q„ /
78-495 Calle Tampico, P. O.Box 1504, La Quinta
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.
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BUSINESS NAME FZ
PROPERTY OWNER
PROPERTY ADDRESS
MAILING ADDRESS
TYPE OF RESIDENCi
TYPE OF BUSINESS
BRIEF DESCRIPTION
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single, multiple,
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PHONE 61? -,,?60 —6 7
PHONE 6ig -3Aa--tQ
it home, etc.)
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NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAME OF PERSONS EMPLOYED x,144
SQUARE FOOTAGE OF USABLE FLOOR AREA
IN HOUSE (EXCLUDE GARAGE) _4dg_00 f
LOCATION AND SQUARE FOOTAGE OF AREA a j�jare �eG�roan� o G /r
OF BUSINESS ACTIVITY IN HOME
(EXAMPLE, "BEDROOM -125 S.F."
DESCRIPTION OF MACHINERY, EQUIPMEZ
BUSINESS OPERATION c
I HAVE READ UNDERSTAND,,
UNDERSTAND,
HOME OCCI�FATG IS ALLOW
AND SUPPLIES BEING USED IN THE
WITH THE CONDITIONS BY WHICH A
ONS ATTACHED). / ,/_
'I'F. APPLICANT IS OTHER THAN PROPERTY OWNER R"AOTFIORiZzV0,TW4'VZV OWMVR
OR AGENT IS REQUIRED.
OWN R "AGENT .S1. r- jRE 4 ` IWW
IMI' i` riT: 'YKI.SE OR MISLEADINZ 'INFORKATZON .SHA' "' Ap GROUNDS FOR
DENYING YOUR YOUR ' HOME OCCUPATION; . VAILUR94 TO COMPVt WM Q9NDITIONS
LISTED`' Oil R`F R: AC L' P�AG� STALL BE ' GROUNDS `'Ti -OR KI-M'CATION. OF
' PEAMIT
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�� �#PPaAVED rL►NIE'�i CONDITIONS'='A�l'ACi,