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Ortega�211 Y.U. LSOX ;)U4 411 La Quinta CA 92253 � CITY OF LA QUINTA (619) 564-2246 `" o► r„<.��` HOME OCCUPATION 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. APPLICANT'S NAME PHONE PROPERTY OWNER S'OP'S- PHONE PROPERTY ADDRESS ALJ Pe-A`t'l ( �-2 TYPE OF RESIDENCE (single, multiple, mobile home, etc.) TYPE OF BUSINESS SwJMM tfAJ6 F"c. BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE NUMBER OF PERSONS INVOLVED IN BUSINESS LIST NAMES OF PERSONS EMPLOYED ✓��- SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE) �j s� F-7— LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EXAMPLE, "BEDROOM - 125 S . F . ") �U6iX` 0�r 6AIIA F- 7� FALIDATION STAMP MAY 121993 DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS OPERATIONVG�G�65Sp6c�D�- - I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS -BY WHICH A HOME OCCUPATION IS ALLOWED (CONDITIONS ATTACHED). e S —12— y3 APPLICANT 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. -------------------------------------------------------------------------- -------------------------------------------------------------------------- . Bui /ing and Safety Depairtment APPROVED BY DATE �2 CONDITIONS ATTACHED DENIED BY DATE �7�'� Tit,, -4v Q* -& 61 c G ( J US . ICJ NO3 1993 BUSINESS LICENSE APPLICATION FO I 1111111111111111 1 11IIII ......PROOF OF WORKERS COMPENSATION INSURANCE IS REQUIRED........ APPROVED BY BUILDING & SAFETY DEPARTMENT .1. IS THIS BUSINESS LOCATED AT YOUR HOME: YES �/ NO 2. Business Name: C La SS< C- P0 c -_S 3. Business Address: Sof-laa AV RAA ix -'6z 4. Mailing Address: SviNt� ey-1 o o Xy La WX AFt P-, 5. Business Phone: ( 6l1 ) 5(1-(- l( -f 5 Z 6. Owned By: CORPORATION PARTNERSHIP NDIVIDUAL 7. If Corporation or Partnership: Tax I.D.# 8. If Individual Owner: Social Security # & y 9. Name of Owner � � � � M � �r27'��a Title: 0 Ai F- 12 - Or Or Officers 10. Type of Business: SW[rAMj g(. POOL HA1&+eNAAfGF- 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: v $ 5,000 00O B. Previous Year Gross Receipts For Established Businesses: s ********GOOD ONLY FOR JANUARY 1,1993 THRU DECEMBER 31,1993******* 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. 'e., - © c'.- xr S - 13 - 93 Signature Title -� Submit Form To: j CITY OF LA QUINTA BUSINESS LICENSE DIVISION P.O. Box 1504 La Quinta, CA 92253 Date