Sanchez (2)CITY OF LA QUINTA
• HOME OCCUPATION APPLICATION
78-105 Calle Estado
P.O. Box 1504
La Quinta, CA 92253
(619) 564-2246
condition listed on the attachment to this form to see if the
proposed activity can comply with the City's Home Occupation Regulations.
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APPLICANT' S NAME �f 7, L�� < < J 5,9� G��� PHONE s� ter- s3 yG
PROPERTY OWNER (� �( PHONE
PROPERTY ADDRESS; 2 <<33 4 11711---' L/ L.4 cP U/,I W ,
TYPE OF RESIDENCE (single multiple, mobile home, etc.)
TYPE OF BUSINESS CO 14 7f jj' !j4— l/tVI
BRIEF. DESCRIPTION OF HOW .THE BUSINESS WILL OPERATE
,-g t,, s -7/(- c., c, e / e ti
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED (�%}
SQUARE FOOTAGE OF USABLE.FLOOR �EA IN
HOUSE (EXCLUDE GARAGE) �/ 2-0 VAIpA@N STAMP.
LOCATION AND SQUARE FOOTAGE OF AREA OF Cr1Y0FLq QUINT'/!
BUSINESS ACTIVITY IN HOME (EXAMPLE,.. AUG 10 1992
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"BEDROOM - 125 S.F.") 66f (LO P -N
// BUILDING M s,q���y —
DESCRIPTION OF MACHINERY, EQUIPMENT, �AND SUPPLE EIN�IJSED THE
BUSINESS OPERATION R
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
-APPLICX4T 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.
Buildincl and Safety De0artment
APPROVED BZ DATE �(1 ?� CONDITIONS ATTACHED
Y Q7
DENIED BY DATE
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•
9
./ 4 BUS. LIC. NO
c 1992 BUSINESS LICENSE APPLICATION FORM
Send Completed Form To: y
M OF r+t CITY OF - LA QUINTA
BUSINESS LICENSE DIVISION
P.O. Box 1504
'La Quinta, CA 92253
1. Business Name: A S UC -7 /C -\/v
2. Business Address: �2�/33 �V� U Z L_,,�
3. Mailing Address: �►� C �.0
4. Business Phone:
5. Owned By: CORPORATION PARTNERSHIP IjINDIVIDUAI
6. If Corporation or Partnership: Tax I.D.#
7. If Individual Owner: Social Security # 35
B. Name of Owner or Officers and Title: _17� e
9. SBE Resale Number:
10. Number of Decals Needed:
11. CONTRACTORS ONLY:
A. Type of Contractor: t1,LLy
B. Classification:
C. State License Number: G 2 t. 3 O
CONTRACTORS - GENERAL $100.00 Per Year or $50.00 Semi-annual
CONTRACTORS - SUB $ 50.00 Per Year or $25.00 Semi-annual
CONTRACTORS ARE ON A CALENDAR YEAR BASIS ONLY; ANNUAL FROM JANUARY 1ST
THROUGH DECEMBER 31ST. SEMI-ANNUAL FROM JANUARY 1ST THROUGH JUNE 30TH; OR
JULY 1st THROUGH DECEMBER 31ST.
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.
(1)U
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Date