CASTROy-
#� R
CITY OF LA OUINTA
HOME OCCUPATION PERMIT
APPLICATION
76-106 Call* Estado
P.O. Box 1604
La Oulnt., CA 922;
(616)664-2246
Read each condition listed on tt.e attachment to this form to see if the
proposed activity can comply with the City's Home Occupation Regulations.
(TYPE OR PRINT IN INK)
APPLICANT'S NAME AAA JTA A . C A STKo PHONE 6zy S1,y- 0%4,P
PROPERTY OWNER Ad P-IP15 l F -t ,4a i Vre/ � . CA ST20 .PHONE
PROPERTY ADDRESS �3-/QQ AMEN./AFF A IIESO LA Quid-rR CA 9aa53
TYPE OF RESIDENCE* (single, multiple, mobile home, etc.) 5 /Al 611E
TYPE OF BUSINESS AacoaArrmm SERV lCE6
BRIEF DESCRIPTION OF HOW THE BUSI)JESS WILL OPERATE (.t/df-rA4VE/ TO
n.r[/_itD r/iFi1T.5 WDie lL 54FKV/cFs AW -h XE -MIA) /Z
NUMBER OF PERSONS•INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED A1Q1VG
SQUARE FOOTAGE OF
GARAGE) FLOOR AREA IN (�`IV�TYL(1E ry��1�ITA p
. iD
LOCATION AND SQUARE FOOTAGE OF AREA OF AUG 0 9 1991
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 SQUARE FEET") Pim
las 5c/ G -r • eY DESCRIPTION OF MACHI�+ ERY, EQUIPMENT, AND SUPPLT!'�II�MFM6�dfsin8-��SINESS
OPERATION L Zr) KECoR . CAI -e- cL4T0A0—
A!
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED):
L2, K�� 13 /U
APPLI SIGNATURE DAVE
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
Horne Occupation; failure to comply with conditions listed on the attached page
shall be grounds for revocation of permit.
------------------------------------------------------
BUILDING i SAFETY DEPARTMENT
APPROVED BY XF DATE CONDITIONS ATTACHED
DENIED BY DATE
•
26
.
1. Business
014
3.
i"z''� ; _• f' : ' 'r. ac �.. ;• ,: .J6 BUS. LIC. NO.
19910,
BUSINESS LICENSE APPLICATION FORM
. , it,
Send Completed Form To:
CITY OF LA QUINTA
BUSINESS LICENSE DIVISION
• , .. P.O:,•-Box_ `1504•, '
La Quinta, CA 92253
o ;the Issuance of.-'�.a Business. License
4,,Number, Businesses
In �.a, `Home Are Requited to Have , A Certificate of Use, and
cyij-gbtainable through the City's(Planning Departirieht
Name:-ftA/I9_A �. (. TIZ1 DBAj•f-tC'J� �n,,iSCj1TjAjr_
Business Address: h'�-7o�� Ay"IhA VA-'11E�o:. J.A QLct W }
Mailing" '
Address :
4. Business Phone':'
�. Owned By: CORPORATION PARTNERSHIP; INDIVIDUAL
6. If tion
ra Cor o , -, r _ . � ;' • r � �u• r, .f:wk• , r. ..
p or, Partnershi :.Tax ,,I.D.c#;.._ r
7. If Individual Owner : < Social' Security ' #r `" J �J = %/ - Zo 4 ZP
8 • , ,i;� si .•.J
Name 'of -,Owner `or Officers and `Titlei';�/Tia /•.-/-�....UhST,Qo
,'_T..::.'S:_r-.:'�.) ..{�d,:,"f-? y',JF.l.t�.,.4 ; ,.., t•i �,�:".(;:;rsii r,i '��. '! ,
' tlwi%'
9. ,.'t ?:i orcrf �, iy }t. L• g i , ,>.. ..
Type 'of"`Business.
10. SBE Resale Number •
11. BUSINESS LOCATED:'WITHIN THE ,61TY,•OF,�„ -.(That, Are Not Building
,LAY r =� f
'•Contractors)'" '�'� QUINTA
A.. Estimat Gross"Busines r•.�'; ` 051 0 4 •08-30-91`5.
$00 i0
ed s� Receipts for New:.Bu 4brie
es� - 1
. _
B. Previous Year Gross Receipts For Established Businesses:
$ ,
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.
W