Anderson & George-Anderson•
CITY OF LA OUINTA
'AOME OCCUPATION PERMIT
78-106 Calls Estado
P.O. Box 1604
La Oulnta. CA 9225
\ (819)664-2248
�y 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)
APPLICANT'S NAME &eD me - l yd-(/ a -61A PHONE�`f
PROPERTY OWNER +itiC_ PHONE
PROPERTY ADDRESS Sa -�3Ecu
TYPE OF RESIDENCE (singles multiple, mobile home, etc.)
TYPE OF BUSINESS L ��{�
BRIEF DES�RIkT, ION OF tpW THE BAsINESS WILL RPF7RATE Gly"--- - a'
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED &09"l,,( --
SQUARE FOOTAGE OF USABLE FLOOR AREA INny jar ' w*IJU
HOUSE ( EXCLUDE GARAGE) /oldiO :5,, [ . VALIDA CC11NN 9('L
LOCATION AND SQUARE FOOTAGE OF AREA OF OCT 1 1 1991
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 SQUARE FEET") Bull
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES
nDTDLTTnw D '
I HAVE READ, UNDERSTAND, AND AGREE WITH THE' CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS A ACHED).
APPLIC T SIGNATURZ DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OMINEI2//
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.
-------------
------- ------------- --
PLANNING i D ELOPMENT
eOVER BY DATE CONDITION TTACHED
IED BY DATE
------------
-----------
CODE ENFORCEMENT �/ p
•�PPROVED BY %4j5 DATE O� 7 ' /� CONDITIONS ATTACHED
DENIED BY DATE
REVISED 08/81 ) )'III' IIIII )III )III
REVISED 08/89
28
1990 BUSINESS LICENSE APPLICATION FORM
Send Completed Form To:
C=^_'Y OF LA QUINTA
BUSINESS LICENSE DIVISION
P.O. Box 1504
La Quinta, CA 92253
BUS. LIC. NO.
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.
A n i
1. Business Name:
2. Business Address: 6�2,f39 19a,E.y/bi!�
3. Mailing Address:f : ���t' �� l�C� ���)i9/C�-� 0,4 �Wt�?
4. Business Phone: (-&Z—)
• 5. Owned By: CORPORATION
Pin
PARTNERSHIP INDIVIDUAL
6. If Corporation or Partnership: Tax I.D.#fit
7. If Individual Owner: Social Security # fib' 16 -Moo
8.
9.
10.
11.
Name of Owner or Officers and Title:
G� 1
Type of Business:
SBE Resale Number: SR r, 4 C,
BUSINESS LOCATED WITHIN THE CITY OF LA CJINTA (That Are Not Building.
Contractors):
A. Estimated Gross Business Receipts for New Businesses Only:
B. Previous Year Gross receipts For Established Businesses:
• 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.
C/
ILI
BUS. LIC. NO.
1990 BUSINESS LICENSE APPLICATION FORM Z
Send Completed Form To:
C:" -"y OF LA QUINTA RAID -NV,
. $9�1
BUSINESS LICENSE DIVISION
P.O. Box 1504
La Quinta, CA 92253
Prior to the Issuance of a Business License M"O 18 es9ii5.00 14
Located In a Home Are Required to Have A Certificate of Use and
Occupancy, Obtainable through the City's Planning Department.
1 • Business Name: AeA,4,0A 9,V4. /71-/,:-
2.
1-l„:-
2. Business Address:
. Mailing Address:
4. Business Phone: (�)
5. Owned By: CORPORATION
•
7.
8.
0
10.
11.
If Corporation or Partnership:
PARTNERSHIP INDIVIDUAL
Tax I.D.#
If Individual Owner: Social Security # ,5
Name of Owner or Officers and Title:
c
Type of Business:/
SBE Resale Number: 3 R r-- 4 C a3 _ 9/- 5
BUSINESS LOCATED WITHIN THE CITY OF LA �JINTA (That Are Not t Building.
A. Estimated Gross Business Receipts for New Businesses..Only:
$
B. Previous Year Gross receipts For Established Businesses:
Y CERTIFY that all the information supplied by me is correct and
CL licenses required by the County, State or Federal Government have been
issued to me and are in full force and effect.
/1 mob- , ) . , n _
to -//- 9/
Date