THOMPSON (2)•
CITY OF. LA OUINTA
HOME OCCUPATION PERMIT
APPLICATION
78-106 Call* Eels
P.O. Box 1504
L• Ouln(a, CA 92
(610)664-2246
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) /A
APPLI CANT'S NAME T�/ Mo ff • Tho M ? SO✓) PHONE 561- .3 732
PROPERTY OWNER -J'odcl and Vera:L/I o ^ /J Sort PHONE 6,44 - 3732
PROPERTY ADDRESS 57-77:5 Ca rra ✓) 2: d ._/-a (2?L4;,j is , 9? -?-s:3
TYPE OF RESIDENCE (single, multiple, mobile home, etc.) .5 F
TYPE OF BUSINESS Zn su.ra.►� ce_ �►,I r�
BRIEF DESCRIPTION OF HOW THE BUSINESS MILL OPERATE �iS.nP Oi-I Ce t�O
HUMFER OF PERSONS INVOLVED IN BUSINESS 2—
LIST
LIST NAMES OF PERSONS EMPLOYED r0dd M. 7-AQ!2 DSQn. Vera L. 7-A,0•)r3o,-!
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE 1 EXCLUDE GARAGE) ' / 300
LOCATION AND SQUARE FOOTAGE..OF AREA OF
BUSINESS ACTIVITY IN HOME I WMPLE,
"BEDROOM - 125 SQUARE FEET")
,gPAroorn - /Z -Qua-re -Fee-j_
DESCRIPTION OF MACHINERY, EQUIPPIENT,
y
OPERATION L -Pio,e lery
i80hLft "AL9i20-9 5.00 10
AND SUPPLIES BEING USED IN THE BUSINESS
1 HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
ATURE
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
HomeOccupation; failure to comply with conditions listed on the attached page
shall be grounds for revocation of permit.
BUILDING i SAFETY DEPAAMM
APPROVED BY DATE CONDITIONS ATTACHED .
T
DEN: ED BY DATE
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Y I IIiIII VIII IIII IIII
32
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1991 BUSINESS 'LICENSE APPLICATION FORM
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*APPROVED � �`� •• �=•:��..��..,i.r � L.,. y,.
AT
:. "J*DENIED ?ITIITIALS :^ r. :'DATE 't.;;i. ; , _ • .'*.rt ,.. , Ao
al.' ^ 11 THIS BUSINESS LOCATED ATS YOUR' HOME: SNO
'2. Business Name:- l�1 re r
..,Business 'Address: 77�� `�1QVeil 4. .-Mailing Address:. -t,
�4kI:ya »afro �rAA,
(6/
5. � .Business 'Phone •�, g ),�tt 3 � '• � ' tom„ �-
v" , . • 1.}; , '),,PARTNERSHIP't t r•.� - �' a 4� t• - �` c.' L tJ?� J a r F
6 Owned $y.. tli - /�?( ORPtORATION � �r w tINDIVIDUAL
7. v If Corporation or;.Partnershi -;Tax' I.D. ' 4•
-8. 1�f •Individual Owner: Social Security .# '55 -1 -,9 a -'ni38'
9. Name,
of Owner
V* ^1:6i . y'`Z'..CV'+�ir�i�it �_:i..��{iy, iJi,'}� .+ •» F �;,�.: 7" R4? e , w�•ir.�r••••• ...r
OrJOfficers ��� r� �� e i dM�!T�R:►l. i. �rr� r � „ �. � rt F :.
10 . Type .of 'Business : .�'' ,=1 ',`•
' • � �F r= ;t'rYA�� t:'.�� yy T � 'i. t• .� .t �". ,•.. t + � " yj-:.. .+ •.. K...- .s i 3� si �v1 W � w - +'t... -r^. -•.� .
If. xt=�c� w . ♦r t 7 '�� /} w .r r �_.4�.- ��. , rri- ���. } ..f 7, :�R a it i r .�e.. ..
:11.. SBE.;.Resal-e.tNumbers. ftl% arnt-ti '»r3�. t.�- tw' `ri+y .i `� ` fir. ..;t� . • �i'` :r
• �• �''�i�• t..'�' : �ir1 'r. `/9 � a•�- , � 1 � J�L- � "r�+syfj�/R� f. w .,.. .. .. ...+p; - 't; +.� ti ^�'zi # `+.
.12 BUSINESS LOCATED WITHIN�THE' ITY i3F. i+-'QUINTA `(Does 'Not � Appll ' TC!,5
,� �- x`
Bll i `1d i 11q, .Contract�rs) c� !`�'% - �k 4 ''t �. :�`, 1 A. - A4C 4 t l r' ► s u ' x n ' # +i rt R er
rA. Estimated'tGross, 'Busines8 ace lits for` iew4usinesses �tOniyz: . r
. 1I ik t. r j+r'J - w. •}Y t7 it r..+_w`I "M !. 1 .
• T l/L/ • VV ! f ti V L • 4 i .i . !.. ., '.� . rY M•, �R ` J� �.t':.' H
• ... 1 .. _ � �S :t: - `. � qtr :� :..» .. '� Ir ° .. .'; ..
B. Previous, -Year Gross Receipts 7 For .Established Businesses:..
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.'
Signature V.,
Submit Form To:
CITY OF LA QUINTA
BUSINESS LICENSE DIVISION
P.O. Box 1504
La Quinta, CA 92253'
'9. - �
Date
l-�
0
• "~ BUS. W C . NO.
1991 BUSINESS LICENSE APPLICATION FORM -2
oo
r
*APPROVED f/ . INITIALS DATE
*DENIED INITIALS DATE
1. IS THIS BUSINESS LOCATED AT YOUR HOME: YES NO
2. Business Name s� 21mo2c�,-� ��r rn,��l; �h (�r'F C T.
3. Business Address: X775 QVnn,&/ A 4. Mailing Address:
5. Business Phone: (b1)
6. Owned By: CORPORATION PARTNERSHIP INDIVIDUAL
V. If Corporation or Partnership: Tax I.D.#
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:
iii
B. Previous Year Gross Receipts For Established�g ' X9127-9klj.00 14
iT—
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.-
• Signature Title
Submit Form To:
CITY OF LA QUINTA
BUSINESS LICENSE DIVISION
P.O. Box 1504
La Quinta, CA 92253
a,-) - "�.
Date
OCT 0 ; 1991
CITY OF LA OUINTA
rn... e.��......
8.
1 f Individual Owner:
Social Security #-5,5'1
- 07
•
9.
Name of Owner _ lls��
%%a,��G,,�
Title: 4010'6uy
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:
iii
B. Previous Year Gross Receipts For Established�g ' X9127-9klj.00 14
iT—
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.-
• Signature Title
Submit Form To:
CITY OF LA QUINTA
BUSINESS LICENSE DIVISION
P.O. Box 1504
La Quinta, CA 92253
a,-) - "�.
Date
OCT 0 ; 1991
CITY OF LA OUINTA
rn... e.��......