WALLEW•
CITY OF LA OUINTA
HOME OCCUPATION PERMIT
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.
------------------------------------
(TYPE OR PRINT IN INK)
78-105 Call* Estado
P.O. Box 1504
La Oulnta. CA 0225:
(810)584-2248
APPLI CANT.' S NAME
PROPERTY OWNER
PROPERTY ADORES
TYPE OF RESIDENCE (single, multiple, mobile home, etc.)
TYPE OF BUSINES
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED�i
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE)
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME ILE,
"BEDR M - 125 SQUARE FEET")
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLI
OPERATION 6" -"
PHONE
PHONE
VAN
AUG J91991
BEING USED IN
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
TE
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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BUILDING i SAFETY DEPA.RTME!
APPROVED BY DATE ,7/� CONDITIONS ATTACHED
DENIED BY DATE
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cu CITY OF LA OUINTA
CE',yQF �p�vSw 78-105 Calle Estado, La Quinta, California 92253
Telephone (619) 564-2246 PERMIT #
Fee $ -.
APPLICATION FOR PERMIT TO ENGAGE IN THE.BUSINESS
OF SOLICITING OR CANVASSING AS DEFINED IN THE
PEDDLERS --SOLICITORS ORDINANCE OF THE CITY OF
LA QUINTA, CALIFORNIA.
NAME OF APPLICANT i;r
PERMANENT HOMEADDRtSS,. SL'7, PHONE_
FULL LOCAL ADDRESS jif any), 'GiILI
77
` L NAME.` &- E
I�
ADDRESSES'OF ATLAST TWO RELIABLE PROPERTY OWNERS OF RIVER-
.•. SIDE.COUNTY WHO WILL CERTIFY AS TO APPLICANT'S GOOD CHARACTER AND
NAME .& ADDRESSES OF AT LEAST
CREDIT REFERENCES:
/_ J%�
.DESCRIPTION OF APPLICANT• 005182 10 4043 08-22-91 i0
` 10 CASH i �TAL i 10.00
HEIGHT '� � WEIGHTAGEaSEX_COLOR OF EYES �n
COLOR OF HAIR .E1
`J14, PLACE OF BIRTH �,
BRIEF DESCRIPTION 0/,NATURE OF BUSINESS AND GOODS/ -,J0' BE SOLD:
_IF EMPLOYED, NAME & ADDRESS,OF EMPLOYER
TOGETHER WITH CREDENTIALS ESTABLISHING EXACT RELATIONSHIP
rF
LENGTH OF TIME FOR WHICH PERMIT TO DO BUSINESS IS DESIRED
PLACE WHERE GOODS OR PROPERTY PROPOSED TO BE SOLD OR ORDERS TAKEN FOR
• THE SALE THEREOF
PLACE WHERE SUCH•GOODS_OR PRODUCTS ARE LOCATED AT; TIME APPLICATION S
FILED, AND THE PROPOSED METHOD OF DELIVERY.
Icle
r
HAS APPLICANT EVER BEEN CONVICTED OF ANY CRIME, MISDEMEANOR OR
VIOLATION OF_ANY MUNICIPAL ORDINANCE, OTHER THAN VEHICLE CODE VIOLA-
TIONS?
"All, YES- NO / ` IF SO, WHEN WHERE
NATURE OF OFFENSE
PUNISHMENT OR FINE
AT THE TIME OF FILING THIS APPLICATION FORA PEDDLER'S OR SOLICITOR'S
PERMIT, THE APPLICANT SHALL, IN ORDER TO QUALIFY SUCH APPLICATION FOR
FILING, PAY A $ FEE TO DEFRAY THE EXPENSE OF INVESTIGATION AND
PROCESSING.,
DATED'
IGNAT OF APPLICANT
T I ' POR N HE A�' IC ON -BE COMP ETED BY THE COMM�fN-ITY�--
SA:TY`C NATOR.
I. PHOTOGRAPHS OF APPLICANT (2) AND PHOTOGRAPHS OF ANY VEHICLE (2)
USED IN SUCH PEDDLING OR SOLICITATION, TAKEN WITHIN 60 DAYS
IMMEDIATELY PRIOR TO THE DATE OF FILING APPLICATION.
PICTURES OF APPLICANT SHALL BE 2" x 2", SHOWING THE HEAD AND
SHOULDERS OF APPLICANT IN A CLEAR AND DISTINGUISHING MANNER.
2. FINGERPRINTS OF APPLICANT.
STATEMENT OF COMMUNITY SAFETY COORDINATOR
i
-2-
•
Qum&
78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564-2246
April 1, 1992
Nancy Waller
52-375 Avenida Bermudas
La Quinta, CA 92253
RE: Quarterly Fee for World Book Encyclopedia
Dear Mrs. Waller:
This letter will serve as a reminder that your quarterly fee of
$10.00 is -now due for the World Book Encyclopedia business
license.
Your next quarte°rly payment of $10.00 will not be due until July
1, 1992. Should you choose to pay the quarterly payments for the
year the balance would be $30.00.
Your prompt response is appreciated.
Sincerely,
BUILDING AND SAFETY DEPARTMENT
Roger Hirdler
Assistant Director of Building and Safety
RH/lc
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
TaY 4 44AM
1991 BUSINESS LICENSE APPLICATION FORM
P5 ) c5
BUS. LIC. NO.
any/
Send Completed Form To:
CITY OF LA QUINTA
BUSINESS LICENSE DIVISION PAID NOV y 9 9994
P.O. Box 1504
La Quinta, CA 92253
Prior to the Issuance of a'Business License Number, Businesses
Located In--a-Home Are Required to Have A Certificate of Use and
Occupancy$.Obtainable through the City's Planning Department.
1. Business Name:A_'O, h(-1C'nyt,�p��-l�f�-�
2. Business Address: i01 1\10
C
3. Mailing Address:'
4. Business Phone:
Owned By. CORPORATIO PARTNERSHIP I�NDIVIiDUAbLb7
6. If corporation or Partnership: Tax I.D.#
i0 "WSH 01 STOTAL"i 19-9 58.00 �0
7. If Individual Owner: Social Security #
8. Name_.. of Owner or Officers and Title :�f-
� v
9.. Type of Business:
10. SBE Resale Number:
11. BUSINESS LOCATED WITHIN THE CITY OF LA QUINTA (That Are Not Building
Contractors):
A. Estimated Gross Business Receipts for New Businesses Only:
B. Previous Year Gross Receipts For Established Businesses:
$
OEREBY CERTIFY that .all the information supplied by me is correct and
any licenses required by the County, State or Federal Government hav been
issued to me a are in full/force and effect. -
Signature Title Date