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LOWELLa �j • 11111111111111111111 70 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 Occupation Regulations. APPLICANT'S NAME L©V,3e-L- PHONE 9 5(1-4 �Zq I PROPERTY OWNER �p 'r' k> Lew a u- PHONE cU y 5lo 4 , IZ41 PROPERTY ADDRESS 5Z 7I0 q���n1i1,P �1(� 'T1rJ - LaQVlNn, 6N. 9ZZs3 TYPE OF RESIDENCE singl , multiple, mobile home, etc.) TYPE OF BUSINESS �VL.T'I KJ6 BRIEF DESCRIPTIOI$ OF HOW THE B SINESS WILL OPERATE r3wr W l7Ipl1e5 W Li L IbnrS V-1 I TIA I Q NUMBER OF PERSONS INVOLVED IN BUSINESS LIST NAMES OF PERSONS EMPLOYED ..t� SQUARE FOOTAGE OF USABLE FLOOR AREA IN PAID $35.00 HOUSE (EXCLUDE GARAGE) 1I:qO STAMP LOCATION AND SQUARE FOOTAGE OF AREA OF OCT 21992 4�� BUSINESS ACTIVITY IN HOME (EXAMPLE, a BUILDING SAFETY DEPT. BEDROOM - 125 S.F.") VAcQrw ooA )4S - DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLI S BEING USED IN THE BUSINESS OPERATION i,) e ,2z L\1S 1�I�t7t�..S Prt QAI-^i n -UO 6Revnr INI 1-P.IF;1-"11 Chi I>>�WIv I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME OCCUPATI N IS ALL WED (CONDITIONS ATTACHED). �_ 1.— F� SIGNATURE - DATE 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. Building and Safety Department 3 JD PM xAPPROVED BY L�-' IDATE I D -6- I0- CONDITIONS ATTACHED �— DENIED BY DATE 1. 2. • %yam-y-�e �� - � - y.z BUS. LIC. NO. 71 1992 BUSINESS LICENSE APPLICATION FORM �-�� /��� ******************* ******************** * *************l *APPROVED !/ INITIALS DATE *DENIED INITIALS DATE ****************************************************************** IS THIS BUSINESS LOCATED AT YOUR HOME: YES NO Business Name: Treouev- 3. Business Address: 5a--710 Av Mailing Address: 'Ru.J�c 5. Business Phone:( ' r 6. Owned By: CORPORATION PARTNERSHIP INDIVIDUAL 7. If Corporation or Partnership: Tax I.D.# 8. If Individual Owner: Social ` Security # 9. Name of Owner �01X� t �, LU wV1- Or Officers -TOkv� E. O [O MOM 10. Type of Business: L-0✓l�U�I 11. SBE Resale Number:ILA N/V-T Title'.- V p -z -c 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 Businesses: ********GOOD ONLY FOR JANUARY 1,1992 THRU'DECEMBER 31,1992******* I HEREBY CE any lice issued .�t Sgnat • TIFY that all the information supplied by me is correct and required by the County, State or Federal Government have been and r ull force and effect. - i1%? 1(21211,7 re Title Date Submit Form To: CITY OF LA QUINTA BUSINESS LICENSE DIVISION P.O. Box.1504 La Quinta, CA 92253