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02
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 ) AWKE/JS SW IC£ ELECTRIC CORP. PHONE 1362-4906
PROPERTY OWNER RO BUT ECKEN)S PHONE '-()-714
PROPERTY
-j(4 -
PROPERTY ADDRESS Qq -R I l NLLF_ 3I0AL0,q
TYPE OF RESIDENCE (single, multiple, mobile home, etc.) ISIN36-LI=.
TYPE OF BUSINESS ?,Lf_CTR 1 GALL 0-01SITR (QCT
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS imam -em Ref,
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
• HOUSE (EXCLUDE GARAGE) /q,5-0 5
LOCATION AND SQUARE FOOTAGE OF AREA OF
BUSINESS ACTIVITY IN HOME (EXAMPLE,.
"BEDROOM - 125 S.F.") f?DRWf n '0100 G. h.
PAID S35.0o
U11YOFLAWNTA
4• VALIDATION -STAMP,
MAR -,:51992
B BUILDING AND SAFETY;
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED .IN THE
BUSINESS OPERATION FAQ ( - ( VI&TFR
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
U .��PPLICAW -SIGNAT M DATE..;
' IF APPLICANT . Z*S-`'•0tlki ',THAN PROPERTY= .OWNER.; AUTHORIZATION OF. OWNER OR AGENT
REQUIRED.
E7 W j!I t'itC% A�iP:1V l 'T'�si`li1V H1.U'KS L)KIM .
z
IMPORTANT:.` ` -1se or -misleading information shall be grounds for denying
your Home:OCcuat`on`; failure..to comply with conditions listed on the
attached page S'all:be ground§ for revocation of permit.
Suildinq,4fid "Safety Deyartment
APPROVED BY_CT- - DATE CONDITIONS ATTACHED
DENIED BY DATE
I
P A I D MAR 3 01992
BUS ..L•I C . NO
1992 BUSINESS LICENSE APPLICATION FORM /S�() /
1. Business Name:
2. Business Address:
Send Completed Form To:
CITY OF LA QUINTA
BUSINESS LICENSE DIVISION
P.O. Box 1504
La Quinta, CA 92253
3. Mailing Address:---.
4. Business Phone:
S. Owned By:CORPORATION PARTNERSHIP INDIVIDUAL
6. If Corporation or Partnership: Tax I.D.#
�7. If Individual Owner: Social Security #
8. Name of Owner or Officers and Title: 0BEV- `7;4 f f C, - Rf_S
A S Mo lzR cs &A-7��,�
9. SBE Resale Number:
10. Number of Decals Needed: .1SQ
11. CONTRACTORS ONLY:
A. Type of Contractor:
B. Classification:
C. State License Number:
CONTRACTORS - GENERAL
CONTRACTORS - SUB
00!51('32 iO
i.0 C:r�rf87'5"5 03'r-630-92 io
, J. iC,iAL. i 50.00
Per Year or
50.9y Per Year or
$50.00 Semi-annual
$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.
HEREBY CERTIFY that all the information supplied by me is correct and .
y licenses required by the County, State or Federal Government have been
ssued to zpe and aro in full force and effect.
• Wltle Date