BESSr
•
C7
C It Y OF LA OUINI A
NOME OCCUPATION PERMIT
APPLICATION
18-106 Call. to
P.O. *OR 1404
La Quints. CA 1
(614)664-2246
mead each cc dation listed on tte attachment to this lorm to see if the
proposed activity can comply with the City's Now Occupation Regulations.
tcscsccccctcrsccstcccame cssceeccsicccssccccsccscsccscscccecssicsseccccccccecsccc
alttc!=iiilttlititlliltliiilCtl!liililltiiii!!t!!!litis!!!L!!lCCiliiiicllitilCCit
ITYPE OAPRINT IN IN�K) /
APPLICANT'S NAME 1 / O �a q !�A-/A �sS PHONE S'6 y- Z�/ %
.PROPERTY OWNER ���'*• 414f: l b� �/1� PHONE
PROPERTY ADDRESS 3 % 7� /7 ►� t '� �/� V a �l � u L c, C�'..,-,i -c,
TYPE OF RESIDENCE (single, multiple, mobile home, ttc-)
TYPE OF BUSINESS
BRIEF DESCRIPTION OF NOW THE BUSINESS W LL OPERATE LC��JJT4 L4`""r
NUKEER OF PERSONS INVOLVED IN BUSINESS 1
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) i S-0 0 YALIDATION STAMP
LOCATION AND SCJARE FOOTAGE OF AREA OF
.. BUS:NESS ACIIV M IN HOME (EXAMPLE, 0051x32 10 5.175 10-25-91 14
"BEDROOM - 125 :QUARE FEET") '/ �o Sc•�� 10 CASHi TOTAL. 1 35 0
DESCRIPTION OI' MIACHINERY, tQUIPrp7, AND SUPPLIES 1E HG USED IN THE BUSINESS
OPERATION'
I HAVE READ, v-sDtRsTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (t DITIONS ATTACKED)..
><f APPLICANT IS OTHER THAN .PROPERTY OWNER. AUTHORIZATION OF OWNER OR AGENT
I!!PORTA.NT: False or misleading information shall be grounds for denying your
Nome Occupation; failure to comply with conditions list*d on the attached page
shall be grounds for revocation of permit.
BUILDING i SAJr7f DLPARTXE
�3� DATE '6 .7 �7^ /� CONDITIONS ATTACHED
PROVED BY
DEJX: ED BY DATE 1W
/ I I'llll IIII IIII IIII
23
CJ
4. BUS.;LIC. NO.
j
199 SINESS LICENSE APPLICATIO FORM
******************************************************************
*APPROVED INITIALS DATE
*DENIED INITIALS DATE
******************************************************************
1. IS THIS BUSINESS LOCATED AT YOUR HOME: YES NO
2. Business Name: -0-rj r•-?ya l/�t 4 IMA w�ak c -r 9� C��r�
3. Business Address: 5.1x%z L-.//,,4 . Mailing Address • s
�� Qv:n�a C
5. Business Phone:(
6. Owned.By: CORPORATION PARTNERSHIP IN ID V DI U L>
7. If Corporation or Partnership: Tax I.D.#
8. If Individual Owner: Social Security # 920--06-9d 9J
9. Name of Owner �0 ��10 UTS-! Title: ��tiY•"� ��Y``��°'�
Or Officers
10. Type of Business: %hC�io
51 0 lt4H;�
1' ` ie.00
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:
$ 0 0. 01 — /S C)o 0
B. Previous Year Gross Receipts For Established Businesses:
$ ,N1-4
********GOOD ONLY FOR JANUARY 1,1991 THRU DECEMBER 31,1991*******
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..
') ? /
Signature Title Date
Submit Form To:
CITY OF LA QUINTA
BUSINESS LICENSE DIVISION
P.O. Box 1504
La Quinta, CA 92253
14
U
0
BUS._LIC. NO.
r
.1992 , SINESS LICENSE APPLICATIO FORM
'F of TNS'
******************************************************************
*APPROVED INITIALS DATE
*DENIED INITIALS DATE
1. IS THIS BUSINESS LOCATED AT YOUR HOME: YES NO
2. Business Name: 0-cs r,4 Va 11-rz Ima; htah c -r q- Clr-t nr &2
3. Business Address: 573-�-%2 Q�Yk,�g _U-L//V-.4. Mailing Address: 34 T
tcL Quo n Cg
5. Business Phone:(
6. Owned By: CORPORATION PARTNERSHIP INDIVIDUA
7. If Corporation or Partnership: Tax I.D.#
8. If Individual Owner: Social Security # 920 06 c/a 9J
9. Name of Owner Lo&icf.IC ` ��' �`' U T S -s Title:
Or Officers
10. Type of Business: %�'1 a �'�� �" �Y Q Clr4
il"W i RAL i ilmo
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:
$ �—, 00.0'— /0000
B. Previous Year Gross Receipts For established Businesses:
$ ,N 1.4. .
********GOOD ONLY FOR JANUARY 1,1991 THRU DECEMBER 31,1991******* ,
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.
06„kLt" l0.-,�.2 -? f
Signature Title Date
Submit Form To:
CITY OF LA QUINTA
BUSINESS LICENSE DIVISION
P.O. Box 1504
La Quinta, CA 92253
14