ABNERUE't
I CITY OF LA QUINTA
HOME OCCUPATION APPLICATION
78-105 Calle Estado
P.O. Box 1504
La Quinta, CA 92253
(619) 564-2246
• . Read each condition listed on the attachment to this form to see if the
proposed activity can comply with the City's Home Occupa ion Regulations.
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APPLI CANT' S NAME .t G �L c� P OE
PROPERTY OWNER!� S I- T �L l PHONE
PROPERTY ADDRESS l S. /9yENl Dio ci4eR14/UZ.4 /V/—,y C
TYPE OF RESIDENC (single ,i multiple, mobile home, etc.)
TYPE OF BUSINESS 2_,, c) fJ S N L�f%
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE Z..LI 4/�i
NUMBER OF PERSONS INVOLVED IN BUSINESS O lug^
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) 411 VALIDATION STAMP
•��
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOMEEXAMPLE,
"BEDROOM - 1�5 S.F.") fSD SG_
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE
BUSINESS OPERATION P FA . P 9e6"V
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
C�t 2j ' ^ '
< p
APPLICANT SIGNATURE
00
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
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 and Safety De a ment
APPROVED BY DATE CONDITIONS ATTACHED
DENIED BY DATE
78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253
May 18, 1992
Michel Abnerue
52-875 Avenida Carranza
La Quinta, CA 92253
Dear Mr. Abnerue:
(619) 564-2246
33
In regard to your home occupation application, please be advised
that we have received telephone approval from Mrs. Kristy Franklin
for you to operate your business from your residence.
Please contact our office at your earliest convenience to schedule
your home occupation inspection.
• Should you have any questions, please do not hesitate to contact
me.
Sincerely,
YBULDING AND SAFETY DEPARTMENT
�&
L nn Car le
Secretary II
/lec
•
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
•
•
1.
ceiht 4
BUS. LIC . NO.
1992 BUSINESS LICENSE APPLICATION FORM
*APPROVED ✓ INITIALS DATE
*DENIED INITIALS DATE
******************************************************************
IS THIS BUSINESS LOCATED AT YOUR HOME: YES NO
2. Business Name:
3.
5.
6.
Business Address S7S /�' 4. Mailing Address:
Business Phone: (e5�'/7
Owned By: CORPORATION PARTNERSHIP INDIVIDUAL
7. If Corporation or Partnership: Tax I.D.#
8. If Individual Owner: Social Securityf'#„y SS S7 O
9. Name of Owner, �, ,v ,�%��� r �/� Title: �110h Q.
Or Officers ---- /' / /} J
10. Type of Business: �,<,it'� �/ ( �r �u�j��� �-
13. SBE 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:
$fie 0CD� � � 1�� `� .� 0o oma'
B.. Previous Year Gross Receipts For Established Businesses:
********GOOD ONLY FOR JANUARY 1,1992 THRU DECEMBER 31,1992*******
I..
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
issued to me and are in full force and effect.
• v Signature
Title
Submit Form To:
CITY OF LA QUINTA
BUSINESS LICENSE DIVISION
P.O. Box.1504
La Quinta, CA 92253
/3 • CZ
Date
•
OF
NON -EMPLOYER CERTIFICATE
I certify what in the performance of work for which this City of La
Quinta business license is issued I shall not employ any person in
any manner so as to become subject to the workers' compensation
laws of California.
Note: If after signing the certificate, you hire any employee, you
become subject to the workers' compensation provisions of the
California Labor Code, and you must immediately comply with the
provisions of Section 3700 or your license immediately becomes
revoked.
Business Name: V l I CkC L
•
Business
QLicense Applicant:��� (C�
Date: U -� 3 - LZ
0