THOMPSON.7
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31
HOME OCCUPATION PERMIT
APPLICATION
$64-2246 PLANNIN6-OIV1810N _ 6/67 .
Read each condition listed on -the -reverside'-side of this torn oto see if
the proposed activity can comply with the City's Nome occupation
Regulations. $35.00 fee
�ITY-OFCJLOUIN
T�-IOS C�IN•tsf��•
P.O. Box 15W
VO1"
s#44CAL9219
19, 964-1266.Z.
APPLICANT'S NAME
PROPERTY OWNER
PROPERTY ADDRESS
tuaryr-
�J
Mrd M. Tho~sorl
reet.) ,, _
%0P-09 e.c los.- ... .
M c6f— 6 ,
PHONE g -373Z
PHONE
Type of residence (Single, Multiple, mobile home, etc.) SF'R
Type of business r!d i 1 Dr -de'
Brief -description of how the business will operate SOC/C if O rotor's j
b[ _ 445W. .00,01 4i'// Qr•d es 66e /Ya:/ i(ly
"-4ay on Dr. - a„syas.
Number of persons involved in business 1—ado
List names of persons employed Tadd M. L
nz'ba mgSon
Square footage of usable floor area in r'
,house (exclude garage) /300 Validation.7tamp
Location and square footage of, area of1)051 5'H��i470TA008-21-9135.00 i0
business activity in home, (example: 1
beO �s s 125 square feet)
MAS
x=
s�'er�c3P room /Z S61c�arPe�
Description of machinery, equiRment, and ZnfPlics being used'in the
•buRiness operation vOnieCin Liu ✓a �s sears
rrl�s� Lk.rla� .ng i►,aeti.�e
I have read and understand and agree with the -conditions by•which a
home occupation is allowed (Conditions on reverse side).
AP CANT SIGNATURE-
If
IGNATURE If Applicant is other than property owner, authorization of owner or agent
required. _
OWNER OR AGENT SIGNATURE DATE
IMPORTANT: False or misleading 'information shall be grounds, f or 'denying
your Home Occupation, or failure to comply with conditions-listed'an,
reverse shall be grounds for revocation -of permit.
,4.
APPROVED Initials _ Date
CONDITIONS ATTR
DENIED Initials Date
LpHOMOCC.PRT ,
BL14
X9/26/91
usiness 2062. ACTIVE
WORLD WIDE MERCHANDISE
P.O. BOX 954
LA QUINTA CA 9
Open Date: 9/03/91
Last Bill:
License Date:
License Exp:
Penalty Date:
Last Pay:9/03/91
LICENSE
PENALTY
Unap.Cr. 15.00 -
Balance 15.00-
CKEY 1 -END DISPLAY
•
,0
l�
BUSINESS MASTER DISPLAY X2
11:28:10
Phone: 619-564-3732 Cat:
Bus. Grp: 1 Location: 1 Class: 328.390
Legal St: INDIVIDUAL Chg.Pen:
Location: 52775 CARRANZA
2253 LA QUINTA CA 92253
Parcel Number:
Gross Cur.: 300 BEAN #:
Gross Prev: St.Lic#:
Paid for Per: 15.00- Fed ID#:
Adj. for Per: SIC #: 00 Bus.ID#:
Deposit Dt: Rate --- Units --- Desc.
Deposit Amt: Code Cur. / Prev. Code
A00
---Aging---
Current:
1 Month: ---Manager's Name & Address ---
2 Months: MAIL ORDER
3 & Over:
CKEY 2 -HISTORY CKEY 3 -OWNER CKEY 4 -CONTACT
•
• Q�� BUS. WC. NO.
1991 BUSINESS LICENSE APPLICATION FORM
*APPROVED INITIALS DATE
*DENIED INITIALS DATE
' vt ktlrtlr**tVr�r*tlt**tk*tlr*tlrtktlrtlr*tlrtY*tktktF**tlrtlrtk*tk*tktttktktYtlr**tk**tit*tttttFtttlr*tk*tk**tktF*tlrtktttk
I. IS THIS BUSINESS LOCATED AT YOUR HOME: YES NO
2. Business Name: C��r \�1 ( )> �U p i t� k --)A-0 Valy-,(1 1ST
0,)Ct : I ; -,l guS � 55 J
3. suss Address: �O (, 9--,L4
4 . Mallin g Address:
5. Business Phone:( 3
6. Owned By: CORPORATION PARTNERSHIP INDIVIDUAL
If.Corporation or Partnership: Tax I.D.#
8. 'r f Individual Owner: Social Security #�7`j
•9. Name of Owner -P Title:
or Officers
10. Type of Business: I r 1n ; n-'r8e -.
11. �')BE Resale Number:
12. BUSINESS LOCATED WITHIN THE CITY OF LA QUINTA (Does Not Apply To
Building Contractors):
A. Estimated Gross Business Receipts for New Businesses Only
B. Previous Year Gross Receipts For Established pBusi se _
0S S of 4T AL09S 0 i15�00 i
r�
1
I HEREBY CERTIFY that all the information supplied by me is correct and
any licenses required by the County, State or Federal Government have been
issu/'dto me and ar in full force and effect.-
Signature Title Date
•
Submit Form To:
CITY OF LA QUINTA
BUSINESS LICENSE DIVISION
P.O. Box 1504
La Quinta, CA 92253
.i.
•s