CROWELL1
• MAILING ADDRESS (if different from business address) i,> ,1vyie.,
46
ce,,1u,,1vz'4
78-495 CALLE TAMPICO - LA QUINTA, CALIFORNIA 92253 - (619) 777-7050
FAX (619) 777-7011
APPLICATION FOR
Fee $35.00 HOME OCCUPATION OF A BUSINESS
Read each condition listed on the attachment to this form to see if
complies with the City's Home Occupation Regulations.
APPLICANT NAMES (List all owners, partners and/or corporation officers)
PROPERTY ADDRESS
BUSINESS NAME
PROPERTY OWNEF
-S5-6� a e,
JUL 091996 D�
Mi ELK., 1A 6)Qlh�b10NE Lev7% I/-/1105
TYPE OF RESIDENCE (single, multiple, mobile home, etc.)
TYPE OF BUSINESS
BRIEF DESCRIPTIOP OF HOW THE BUSINESS. WILL OPERATE
,hr.mlf ;,� , 5,�6ur-n 7i:7 -t. l _.
NUMBER OF PERSONS INVOLVED IN BUSINESS '
66
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (exclude garage) C -
LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY W HOME (example,
"bedroom - 125 sq. Ft.) --so isc�a
• DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS
OPERION r? v V lea \ "i
-,y
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 ��J
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCC PATION IS ALLOWED (conditions attached).
•Date
Applicant's Signature
•
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION' OF OWNER OR
RENTAL/LEASING AGENT IS REQUIRED.
Qef✓ ; �� �.� Date.
mer/ gent Signature
NTA- zk si,u6_ &�d�f�''►1 Date
Agent Company Name Agent/Owner Contact Phone #
IMPORTANT: FALSE OR MISLEADING INFORMATION SHALL BE. GROUNDS FOR DENYING
YOUR HOME OCCUPATION; FAILURE TO COMPLY WITH THE CONDITIONS LISTED ON THE
ATTACHED PAGE SHALL BE GROUNDS FOR REVOCATION OF PERMIT.
APPROVED'
DENIED SPECIAL CONDITIONS ATTACHED
BY: I.D. # DATE
countera
AA �
HOME OCCUPATION
• CONDITIONS AND CRITERIA
ALL HOME OCCUPATIONS SHALL COMPLY WITH THE FOLLOWING CONDITIONS AND REQUIREMENTS:
1. No one other than the resident of the dwelling shall be employed on the premises in the conduct of the
Home Occupation.
2. The Home Occupation shall be conducted entirely within the enclosed area of the main building & shall not
occupy more than 25 percent of the total area of the structure.
3. A Home Occupation shall not be conducted within an accessory structure. There may be storage of
equipment or supplies in an accessory structure. Garage space may be used for the conduct of a Home
Occupation only when it does not interfere with the use of such space for the off-street parking of vehicles
required by Chapter 9.160 of the Zoning Ordinance.
4. There shall be no outdoor storage of equipment, machinery, supplies, materials, or merchandise.
5. There shall be no sales activity, either wholesale or retail, except mail order sales, nor shall there be the
maintenance of an office open to the general public.
6. There shall be no supply of hazardous materials stored on the premises at any given time (i.e. pool, chlorine,
paint thinner, etc.) Unless the hazardous materials are stored in a manner approved by the State Fire Marshall
or any other regulating agency.
7. There shall be no dispatching of persons or equipment to or from the subject property, including the use of
• vehicles which operate to and. from the premises.
8. No vehicles or trailers except those normally incidental to residential use shall be parked at the residence at
any time.
9. There shall be no use of any mechanical equipment, appliance, or motor outside of the enclosed building or
which generated noise detectable from outside the building in which it is located that is related to the
business.
10. There shall be no signs or other devices identifying or advertising the home occupation.
11. In no way shall the appearance of the building or lot be so altered, or the home occupation be so conducted,
that the lot or building may be reasonably recognized as serving a non-residential use (either by color,
materials, construction, lighting, sounds, vibrations, etc.)
12. No Home Occupation shall create a nuisance by reason of noise, odor, dust, vibration, fumes, smoke,
electrical interference, traffic, or other causes.
13. The use shall meet reasonable special conditions as established and made of record in the Home Occupation
Permit, as may be deemed necessary to carry out the intent of this Section.
14. Listed below are special conditions which shall be considered a part of the conditions and criteria directly
related to this application and permit.
S
T�df 4 4Q"
p o
S. LIC. N JUL �9 6 DI
1996 BUSINESS LICENSE APPLICATION FORM oy�C
*ss**s*s*«***********sss
* APPROVED BY DATE �' -1/I—
«««**««*s****«« ssss«s«s«sss«s***s««**sssss*
PROOF OF WORKERS COMPENSATION INSURANCE IS REQ* D PRIOR TO ISSUANCE
1. IS THIS BUSINESS LOCATED AT YOUR HOME: YES NO
2. Business Name: (W 1
3. Business Address:
5. Business Phone: (/,g
,,4(Ag
4.. Mailing Address
6. Owned By: CORPORATION PARTNERSHIP
7. If Corporation or Partnership: TAX I.D. #
8. If Individual Owner: Social Security# 57 /— 57 663
9. Name of Owner7 (F-1 G K aOW W 1 Title:yw KWIC
or Office
(?,>T�e
-11. IF YOU ARE A FOOD VENDOR, DO YOU HAVE A COUNTY HEALTH PERMIT:
YES NO o�,,
12..SBEResale Number: �C I'i C q� . I B a E!w
F
13. BUSINESS LOCATED WITHIN THE CITY OF LA QUINTA (Does Not Apply To Building Contractors):
A. Estimated Gross Business Receipts for New Business Only:
$
B. Previous Year Gross Receipts for Established Businesses:
******************GOOD ONLY FOR JANUARY 1, 1996 THRU DECEMBER 31,1996***************
I HEREBY CERTIFY that all the information supplied by me is correct and any licenses required by the County, State
or Fede ?ov iunent have been ued to me and full force and effect.
Signature Title jhte
Send Completed Form To:
CITY OF LA QUINTA
BUSINESS LICENSE DIVISION
78-495 Calle Tampico
• P.O. Box 1504
La Quinta, CA 92253
JZO
0