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CITY OF LA QUINTA
HOME OCCUPATION APPLICATION
78-105 Calle Estado
P.O. Box 1504
La Quinta, CA 92253
(619) 564-2246
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 Ar4./s / C���u�-S PHONE 56¢-,0719
PROPERTY OWNER PHONE S:oeoE
PROPERTY ADDRESS a -/—
TYPE OF RESIDENCE (single, multiple, mobile home, etc.) si.✓�L�
TYPE OF BUSINESS ,i'OETd/0�� L�t�nls��TivG
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS /
LIST NAMES OF PERSONS EMPLOYED Ajo a -
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
• HOUSE ( EXCLUDE GARAGE) V .bb
CITYOFLAQUINtA
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAMPLE, NOV 0 41992
"BEDROOM - 125 S.F.") �a C� �[ 1
BUILDING AND SAFETY DEPT.
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIEBY BEING USED IN THE
BUSINESS OPERATION 4
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION II SI ALLOWED (CONDITIQVS ATTACHED) . , . .. . ,
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I
11
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 ldi and Safety DepartMent �5
APPROVED BY S�DATE I /� CONDITIONS ATTACHEff
DENIED B DATE '
t
PARC LA QUINTA HOMEOWNERS ASSOCIATION
AVAIL PROPERTY MANAGEMENT
P_0_ BOX 1032
PALM DESERT, CALIFORNIA 92261
(619) 568-2717
October 8, 1992
Mrs. Aribis Childs
49245 Bal ads Court
La Quints, CA 92253
. Dear Mrs. Childs:
Your request for approval to operate a computer consulting business from
your residence has been approved. It is approved with the understanding, as
you stated, there will be no 'walk-in' traffic or deliveries made either to or
from this address within Parc La Quinta HOA relating to this business.
It is further understood that no commercial vehicles will be used for the
operation of this business which would be parked on a permanent basis
within the complex.
With these conditions agreed upon by both parties, please take this letter,
along with the attached letter to the City of La Quinta for issuance of a
permit.
Sincerely,
• Cam Anderson
Project Manager
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T4t!t 4 4 4"
1992 BUSINESS LICENSE APPLICATION FORM
/tea-c�oC //- /J 9Z
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BUS. LIC. NO.
I IIIIII VIII II'I IIII
07
***************************************** ** * *******************
*APPROVED Z/ INITIALS A/ V -"(-"ATE (I-
*DENIED INITIALS DATE
******************************************************************
1. IS THIS BUSINESS LOCATED AT YOUR HOME: YES NO
2. Business Name: EI
3. Business Address: 4Cj -,29 ,1� & JIJl4 4 . Mailing Address:
5. Business Phone:(
6. Owned By: CORPORATION PARTNERSHIP INDIVIDUAL
7. If Corporation or Partnership: Tax I.D.#
8. If Individual Owner: Social Security # Jr�c,3 2 3-�y�f
9. Name of Owner .-1 ��� ; ld �2 Title:
Or Officers
10. Type of Business:
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 �'2SG0�
B. Previous Year Gross:Receipts For Established Businesses:
$ n oc-e-
********GOOD ONLY FOR JANUARY 1,1992 THRU DECEMBER 31,1992*******
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/ A j 1A /
• 5ignat
tle
Submit Form To:
CITY OF LA QUINTA
BUSINESS LICENSE DIVISION
P.O. BOX -1504
La Quinta, CA 92253
Date
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