Manzella• 4�G(/ BUS. LIC. NO.
o/
1992 BUSINESS LICENSE APPLICATION FORM
******************** ******************* ************************
*APPROVED INITIALS DATE
*DENIED INITIALS DATE
******************************************************************
1. IS THIS BUSINESS LOCATED AT YOUR HOME: YES NO
2. Business Name:, -T'
3 . Business Address: '�: `�.'> 4. Mailing Address:
�i'� L!:( � L.-: .� l ,� �i I�� Y_� � l'l � /.Lr --•L. / 11 i�1 .
C.
`•• �1 ` �.•'� �. •li i
5. Business Phone: ZZ
6. Owned By: CORPORATION PARTNERSHIP INDIVIDUALL
7. If Corporation or Partnership: Tax I.D.#
8. If Individual Owner: Social Security # ( L- u i _ 3
7 c 7
9. Name of Owner ►. i i. ICi;��Z Title: 0Uji1`(-y
Or Officers p ,�
�. Ln � 5i�') '1Q S yfi6 07— i 4-02 14
10. Type of Business: 1 i(l>j C C_C�:iZ- �,L .)� c� �a�l� 157.0
11. 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:
$7 ' DO
B. Previous Year Gross Receipts For Established Businesses:
********GOOD ONLY FOR JANUARY 1,1992 THRU DECEMBER 31,1992*******
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.
S' nat
Title
Submit Form To: -
CITY OF LA QUINTA
BUSINESS LICENSE DIVISION
P.O. Box 1504
La Quinta, CA 92253
Date
� I IIIIII VIII Iill IIII
24
0
BUS. LIC . NO.
� � � 1111111 IIIII IIII 1111
04
�i � G 6— o
1992 BUSINESS LICENSE APPLICATION FORM
******************** ******************* ************************
*APPROVED INITIALS Cc/ eo DATE
*DENIED INITIALS DATE
******************************************************************
1. IS THIS BUSINESS LOCATED AT YOUR HOME: YES � NO
2. Business Name:>pe, )[ ln��►Lp-<i�� C'.�'c.(i,
3. Business Address:
4 . Mailing Address:
Dov - ►r�.�T . {�i1�t C'c� 9,Z�.QI Ar -2, 1i 1�1- : C'_c�.. 9,2-3
5. Business Phone:( (I)ICI ) � ,/
6.
Owned By: CORPORATION
PARTNERSHIP
INDIVIDU\
7.
If Corporation or Partnership: Tax I.D.#
8.
If Individual owner: Social
Security # 5
to U `7 — 3 `6 3
9.
Name of Owner 'D�-Vt�j [,i
CIJ,IZ-C [J(L`
Title:
Or Officers
10.a
Typ of Business: }
11. 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:
$ .17 ; DO
B. Previous Year Gross Receipts For Established Businesses:
********GOOD ONLY FOR JANUARY 1,1992 THRU DECEMBER 31,1992*******
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.
D cA)Ni(f— 1— — I`?
S natu Title Date
Submit Form To:
CITY OF LA QUINTA
BUSINESS LICENSE DIVISION
P.O. Box 1504
La Quinta, CA 92253
r
CITY OF LA QUINTA
HOME OCCUPATION APPLICATION
Reid each condition listed on the attachment to this form to see if the
proposed activity can comply''with the City's Home Occupation Regulations.
78-105 Calle Estado
P.O. Box 1504
La Quinta,-CA 92253
(619) 564-2246
APPLICANT'S NAME ►Z�ILJ
PROPERTY OWNER
PROPERTY ADDRESS
PHONE ,5&_ Z/�
PHONE Sly S/ -12()Q
-T
TYPE OF RESIDENCE ( Ingle multiple, mobile home, etc.)
TYPE OF BUSINESS OO Z _ e- u xi
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE. Q(3-i-p-'j(1�� Qp
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED I Z
SQUARE FOOTAGE OF USABLE .FLOOR AREA IN PAID 4145.00 MA
-
. HOUSE (EXCLUDE GARAGE) ZVqfAK Vffi NTP r? :STAMP
LOCATION AND SQUARE FOOTAGE OF AREA OF J U L 0 81992 �
BUSINESS ACTIVITY IN HOME ( EXAMPLE, . BEDROOM - 125 S.F.) BUILDING AND SAFETY DEPT.
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE
BUSINESS OPERATION _��D j� a 11 �0 T Q 00 F.
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).'
- -
AP LI GNATURE DATE
�6G
IF A CAN I OTHER H ROPERTY OWNER, AftHORIZATION OF OWNER OR AGENT
REQ IRE .
3 _ 2
OWNER/ EN IS NATURE/ 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
Building Safety Department
APPROVED BY DATE 7 '%2 CONDITIONS ATTACHED 6�L6�fL-
DENIED BY DATE