MALDLNADOr•
/� 14 -
CITY OF LA QUINTA
CHOME 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 l- I .-�F.
PROPERTY OWNER z:
PHONE J�� `f -C G ,-. S-
PHONE
PROPERTY ADDRESS '`�' i - ] :`t f''•:= r`E c H l`-
TYPE OF RESIDENCE (.single, multiple, mobile home, etc.)
TYPE OF BUSINESS 11V I CC-( c% 6 t- -' t- oCl=? i in%�- / C: �=' A
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
�":'��� . �C fvj � �V � r• C"' � .�,�� �:�:.{�..�-� ; � •tier,
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN 00� ON
• HOUSE ( EXCLUDE GARAGE) i%i CRY STAMP
4
LOCATION AND SQUARE FOOTAGE OF AREA OF MAR 2 51992
BUSINESS ACTIVITY IN HOME (EXAMPLE,
"BEDROOM - 125 S.F.") ►SQ
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPP THE
BUSINESS OPERATION
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
APPLICANT 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.
Building and Safety Department
APPROVED BY k5Z DATE v CONDITIONS ATTACHED
DENIED BY DATE
•
E
r:
T.-iht 4.4 Q"
1992 BUSINESS LICENSE APPLICATION FORM
BUS. LIC. NO.
......PROOF OF WORKERS COMPENSATION I SURANCE.IS REQUIRED........
*************** ******************** ****************************
*APPROVED INITIALS DATE r*
*DENIED INITIALS DATE
******************************************************************
1. IS THIS BUSINESS LOCATED AT YOUR HOME: YES ✓ NO
2. Business Name: io.e s
3. Business Address : 49- i9.3 604C4i& . 4. Mailing Address:
5. Business Phone:( (vi9 ) .S(os�-(ooaZS
6. Owned By: CORPORATION PARTNERSHIP ND�VIDUAL
7. If Corporation or Partnership: Tax I.D.#
8. If Individual Owner: Social Security # .S0 7 - a �4- 61i -7
• 9. Name of Owner 2),1 ✓FSE Title: QwwE.P2
Or Officers
10. Type of Business: /n/7U.-Pt0,V-
11. SBE Resale Number: -5A A-6 <a ._ 7aa! 93 a.
12. BUSINESS LOCATED WITHIN THE CITY OF LA QUINTA (Does Not Apply To
Building Contractors):
A. Estimated Gross Business Receipts for New Businesses Only:
$ Coo.'
B. Previous Year Gross Receipts For Established Businesses:
$
********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.
• Signature Title. Date
Submit Form To:
CITY OF LA QUINTA
BUSINESS LICENSE DIVISION
P.O. Box 1504
La Quinta, CA 92253
• IVN N
46'.
.r Wit.
r�M OF
NON -EMPLOYER CERTIFICATE
I certify what in the performance of work for which this City of La
Quinta business license is issued I shall not employ any person in
any manner so as to become subject to the workers' compensation
laws of California.
Note: If after signing the certificate, you hire any employee, you
become subject- to the workers' compensation provisions of the
California Labor Code, and you must immediately comply with the
provisions of Section 3700 or your license immediately becomes,
revoked.
Business
Name:
hl q L' 3' �✓ter D c /ti'
%��'
Business
License Applicant:
Date: �'
s _�j Z--
L�
0
March 28, 1992
City of La Quinta
Building and Safety Department
Post Office Box 1504'
La Quinta, California 92253
To Whom It May Concern:
This letter will confirm Danese Maldonado has discussed with
the Board her intention to do business as an interior
designer and conduct this business out of her home as well as
related crafts.
The location of the business is to be 49-793 Coachella Drive,
La Quinta, California, 92253.
Please accept this letter or approval so Danese may obtain
her business license.
• Sincerely,
Adk'-��
Dick Shuma
President
Islands III Homeowners Association
•
564-2246 PLANNING DIVISION 6/87
Read each condition listed on the revers de side of this form to see if
the proposed activity can comply with the City's Home Occupation
Regulations.
TYPE OR PRINT IN INK nn 2APPLICANT'S NAME�� IP �/mot 5� - leeq— PHONE Sl4f -/64'0
PROPERTY OWNER �� ,Ys PHONE �s p
PROPERTY ADDRESS 0�7-7gad..v._/..c i ti sC
. . (Street
ty
tate
p
Type of residence (Single, Multiple, mobile home, etc.)
s.
Type of business
Brief 4escription of how the business will opera
- —
Number of persons involved in business Z
List names of persons employed 1.el�i7c
,Square footage of usable floor area in
house (exclude garage) ��ID Validation Stamp
Location and square footage of area of
business activity in home (example: Q051,82 SO M 7 :.0-16-87 10
bedrooms; 125sAyare feet) 10 CASH 5 TOTAL S. 35.00
Description of machinery, equipme t,.and supplies being used in the
business operation �A�-� .T�i'in�. , ss /JJ1D��4!_Sf
I have read and understand and agree with the conditions by which a
hom cupation is allowed (Conditions on re rse side).
�s .gam 7
ICANT S A TE
If Applicant is other than property owner, authorization of owner or agent
required.
OWNER OR AGENT SIGNATURE DATE
IMPORTANT: False or misleading information shall be grounds for denying
your Home Occupation, or failure to comply with conditions listed on
reverse shall be grounds for revocation of permit.
_APPROVED Initials ILI)-� Date
CONDITIONS ATTjPWED
DENIED Initials Date
LQHOMOCC.PRT