Sherman•Of 9914-M
BUS. LIC. NO.
1992 BUSINESS LICENSE APPLICATION FORM II"I'lll'IIIIIIIIII
16
DATE' '..'l.
*APPROVED INITIALS ' ,... i..
*DENIED INITIALS DATE
1. IS THIS BUSINESS LOCATED AT YOUR HOME: YES NO
2. Business Name: L- / lean l(`1
3. Business Address: V'V-Lis� /'�X �, %L 4 . Mailing Address:
�.c (t� Zvi ..�. u, (} iQ
5. Business Phone:( J ) j
6. Owned By: CORPORATION PARTNERSHIP INDIVIDUAAL--�
7. If Corporation or Partnership: Tax I.D.#
8. If Individual Owner: Social Security # 76— '7?S7
.9. Name of Owner A\- S-fi4E-P'/4 /NJ Title:
Or Officers ,
10. Type of Business: LR R `q-- - C<eAlj j U�3
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:
c' Z
B.. Previous Year Gross Receipts For Established Businesses:
$ % o -`Oc—
********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
.4
0
CITY OFLAGM
78-105 Ct•110-estedie
P.O. BOX 1504 -
Le Oulate;CI.021t0
K419) 964-1246=
664-2246 AD -WL (3-7 PLANNING DIVISION 6187
ad each condition listed on the reverside side of this form to see
the proposed activity can comply with the City's Home Occupation
Regulations. $35.00 fee
TYPE OR PRINT IN INK
APPLICANT'S NAME /¢L- She)►,+- PHONE 6/4 36z)o6o7
PROPERTY OWNER AL .The --m* 1 PHONE
PROPERTY ADDRESS 44-q So FOXTAIL G(2, Lp 4P UJYAby X14 qzZrs
( Street.)
(City) (State) (Zip)
Type of residence (Single, Multiple, mobile home, etc.) S
ftECCC IVSD Type of business LA2PET CLEk01� !;-ey r -t
Brief description of how the business will operate L wi// we M y
OCT 2b00
U� LA QuINTA tuber of persons involved in business 0 N (!WNING&DEVELOPME"ToTht names of persons employed A L S-Ae i -,l* /
•
e,
Square footage of usable floor area in
house (exclude garage) 157o Validation Stamp
Location and square footage of area of
business activity in home (example: 005182 10 761 10-16-90 i0
bedr 125 square feet) _Fh ,� 10 CASH S TOTAL 1 35.00
)S-4 d 6,0M 1 5- o S 4 O"�'�' C4 1 t�
Description of machinery, equipment, and supplies being used in the o-tg.
business operation /b AA PN tAj*- -& -uo ✓*CuvMy4uo% P. ivfow P''"P�'"'` grR-
W A2t►- eu h P .2 00 - 4/06 P r, bs a y WAIN ah+� ias'i 9� ��u r,
eAv9i'T l S7
I have read and understand and agree with the conditions by which a
home occupation is allowed (Conditions on reverse side).
-e7 � /0-16 -9v
APPLICANT SIGNATURE DATE
If Applicant ie other than property owner, authorization of owner or agent
required.
OWNER OR AGENT SIGNATURE DATE
IMPORTANT: False or misleading information shall beunds for denying
your Home Occupation, or failure to comply with Condit ns listed on
reverse shall be grounds for revocation of permit. - — --
YAPPROVED
f Initials
CONDITIONS ATTA
DENIED initials
LQHOMOCC.PRT
0
•
•
T4ttt
"
78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 5642246
October 29, 1990
Al Sherman
44-450 Foxtail
La Quinta, CA 92253
SUBJECT: HOME OCCUPATION PERMIT APPLICATION NO. 137
Dear Mr. Sherman:
Your request for a Home Occupation Permit for a carpet cleaning
business out of your home has been approved. Enclosed is a
copy of your approved application for your records. You must
still obtain a City Business License from the Finance
Department prior to conducting your business in the City of La
Quinta.
Should you have any questions, please contact the undersigned.
Very truly yours,
JERRY HERMAN
PLANNING AND DEVELOPMENT DIRECTOR
_.'Stam Bo --Sawa
Principal Planner
Atta&&dnt
• °pV �: Vie., . ... .
CS/FORM .., _..,... ; . ,.;
NWANG ADDRESS - P10: BOX' 1504 - LA' QUINTA, CALIFORNIA: -.92253