Forrest��),
AAP6
�z
7.
y 01 rr+�
Read each condition listed on tte attachment to this form to see if the
proposed activity can comply with the City's Home Occupation Regulations.
(TYPE OR PRINT IN INK)
01' P -n f7005-e-
571vao )
•
•
CITY OF LA OUINTA
0\1 HOME OCCUPATION PERMIT
APPLICATION
78-105 Call* Estad
P.O. Boa 1504
Le Oulnta. CA 022
(6115)564-2246
APPLICANT'S NAME Z:tjVi/,eS` .�LC: iUUPHONE J NO
PROPERTY OWNER MI P/i�jf l ch eI� # PHONE�I�' �O'-0Jo 0
PROPERTY ADDRESS
TYPE OF RESIDENCE (single, multiple, mobile home, etc.) �](i1 D Q
TYPE OF BUSINESS --1 � f r/T��I� SGV tp t(II-Pr
EF DESgRIPTION,OF HOW THE BUSINESS WILL
al
NUMEE P R �t75'INVO ED IN BUSINES
S U' , ,fJ /,?71JS
LIST NAMES OF PERSONS EMPLOYED /10110/1 ti
- L biz t
u�p n gyp'
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) 2 OL y� VALIDATION STAMP
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EX LE,
"BEDROOM - 25 SQUARE FEET") _
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS
OPERATION NZ 1 5'tS f'T a f P 1�I CZ
1 HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER AGENT
REQUIREI)IAA " /! / 1 � � . // -/"7— . .
/AGENT SIGMA
IMPORTANNT: 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.
BUILDIN SAFETY DEPAR
APPRDVED BY S ATE GLo2 �' CONDITIONS ATTACHED ,
DENTED BY DATE
11111111111111111111
20
1991 BUSINESS LICENSE APPLICATION FORM
*APPROVED INITIALS DATE
*DENIED INITIALS DATE
BUS.__LIC. NO.
1. IS THIS BUSINESS LOCATED AT YOUR HOME: ^ YES_ NO
2. Business Name:
3. Business Address:. /x--
5. Business Phone:( (D1 )
6. Owned By: CORPORATION
7.
8.
is 9.
10.
11.
�—r 4.
�f
Sailing Address:
^d, lay.
PARTNERSHIP INDIVIDUAL
If Corporation or Partnership: Tax I.D.#
If Individual Owner: Social Security #
Name of Owner Title:
Or Officers ,
Type of Business:
SBE Resale Number:
12.- BUSINESS LOCATED WITHIN THE CITY OF LA QUINTA ] y b SN�g 11 1 C��fiLIl r3c iii' ��� i4
Building Contractors):
A. Estimated Gross Business Receipts for N�e.,w[ Businesses Only:
B. Previous Year Gross Receipts For Established Businesses:
********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.,
• "`""Title Date
Signature
Submit Form To:
CITY OF LA QUINTA
BUSINESS LICENSE DIVISION
P.O. Box 1504
La Quinta, CA 92253
t
caY)far-�
0' p en, flous_e
Vt 2 5 4- 5(L)0V
•
CItY OF LA OUINTA
NOME OCCUPATION PERMIT
APPLICATION
76-105 Call* Esta
P.O. fox 1606
Ls Oulnla. CA 92
(610)664-2249
each condition listed on tte attachment to this form to see if the
proposed activity can comply with the City's Home Occupation Regulations.
i!___---
(TYPE OR PRINT IN INK)
APPLICANT'S NAME ��_rl jl le_Ct
PROPERTY OWNER M lT File e r
PHONES(05 -/5 L
PHONE�&"-0 go()
PROPERTY ADDRESS - / ►` I ` "'
TYPE OF RESIDENCE (single, multiple, mobile home, etc.)
TYPE OF BUSINESS
BR EF DESgRIPTION OF HOW THE BUSINESS WILL OPERA7E N E% Yl l•eW)? -_ -G nccj
urho e a
������PPw ��e Se1h711 It t �`.
NU E !C P R DNS'INVO ED IN BUSINESS �'
LIST NAMES OF PERSONS EMPLOYED /MOI? t✓
SQUARE FOOTAGE OF USABLE FLOOR EA IN VALIDATION STAMP
HOUSE (EXCLUDE GARAGE)q�
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (Ex LE,
"BEDROOM - 125 SQUARE FEET") _
DESCRIPTION OF MACHINERY, EQUIPVExT, AND SUPPLIES BEING USED IN THE BUSINESS
OPERATION ii rte 5 ��_ _f'► l t7. T P ��
HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
CUPAT IS ALLOWE (CNDIONS ATTACHED).
9
"PLIC T SRE T
rw Le
140`1 0x:1991
0
IF APPPLL7C�ANT IS OTHER THAN 7/A,0KrA
Ty OWNER, AUTHORIZATION OF OWNER O�jA;ENT
REQUIR/ { � � !
/AGENT SIGNA
IKPOR:A.v : False or misleading information shall be grounds for denying your
Home Occupation; fsilure to comply with conditions listed on the attached page
shall be grounds for revocation of permit.
------------- ------------------ ------ ------------- -----
---------------------------------------- - ---
______.--
BUILDING,,e SAFETY DEBYP5
A�f
APPROVED ATE GLoZ- ' CONDITIONS ATTACHED
DEN:ED BY DATE
•
•
0
6 �
C/
BUS—LIC. NO.
D ;
,j; is
1991 BUSINESS LICENSE APPLICATION FORM
*APPROVED -f INITIALS /C— DATE /0 "3,4 'tel
*DENIED INITIALS DATE
1. IS THIS BUSINESS LOCATED AT
2. Business Name:
3. Business Address:..
5. Business Phone:(
6. Owned By: CORPORATION
HOME: ^ YES_ 'NO,
4. Mailing Address:
PARTNERSHIP INDIVIDUAL
7. If Corporation or Partnership: Tax I.D.#
8. If Individual Owner: Social Security
9. Name of Owner
Or Officers
10. Type of Business:
11. SBE Resale Number:i'CZ� /
12.- BUSINESS LOCATED WITHIN THE CITY OF LA;QUINTA,EO5 S i11T 13"ii8.00 i4
Building Contractors):
A. Estimated Gross Business Receipts for New Businesses Only:
B. Previous Year Gross Receipts For Established Businesses:
$
********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 tame—and—are in full force and effect I
Signature " Title
Submit Form To:
CITY OF LA QUINTA
BUSINESS LICENSE DIVISION
P.O. Box 1504
1a Quintal CA 92253