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FEE $35.00
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CITY OF LA QUINTA 33
78-495 Calle Tampico, P. O.Box 1504, La Quinta, CA 92253
HOME OCCUPATION PERMIT
Read each condition listed on the attachment to this form to see it
the proposed activity can comply with the City's Home Occupation
Regulations.
BUSINESS NAME J-: PPIONE 619' -340 -,?Z? -2
PROPERTY OWNER PHONE S A.,,,,, -Q _
PROPERTY ADDRESS h s,,i d �o �� v C , ts�,���,ta C'� •9zzs
MAILING ADDRESS 5 R,.r Q -j `
TYPE OF RESIDENCE (single, multiple, mobil home, etc.)
TYPE OF BUSINESS UVOS-r 1, 01%IIn ,UZ�
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE,���,,�
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAME OF PERSONS EMPLOYED t4
SQUARE FOOTAGE OF USABLE FLOOR AR
IN HOUSE ( EXCLUDE GARAGE) Ncv S -F
LOCATION AND SQUARE FOOTAGE OF AREA
OF BUSINESS ACTIVITY IN HOME
*��`rd
(EXAMPLE, "BEDROOM -125 S.F.")gyp°"�
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED N THE
BUSINESS OPERATION Qo,,,-n-,,v-� , Nm -j _ paor,� -
, LK
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A
HOME,9-CUPATION IS ALLOWED (CONDITIONS ATTACHED).
o^ V k y�9 9 o vv�J \-\ I�I
APIPLICANT SIGNATURE IDATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER
OR AGENT IS REQUIRED.
OWNER/AGENT SIGNATURE
IMPORTANT,::,-- FALSE OR MISLEADING INFORMATION SHALL 'BE GR07JNKIS FOR
DENYING ?®UR HOME- d.CCUPATION; F ;-LURE TO :COMPLY WITH CONDITIONS
L%STED ON 7,4E ATTACHED PAGE SHAI.L,--BE OAOUNDS FOR REVOCATION OF
PERMIT.
-:;X`ldq and Safety De artmnn.t -
PROVED DENIED C&iDZTIONS-�.4.W i€D
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LAI-
-I 995 6: OSPP1 FROM
Pcrltn Qorlt Country
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• HOMEOWNERS ASSOCIATION
November 28, 1995
Jeanne Tillison
78-161 .Indigo Drive
La Quinta, CA 92253
Dear Ms. Tillison:
Your request to operate a horse sales business in Palm Royale Country
Club Homeowners Association was approved with the following
restrictions:
1. There will be no flammable or unsafe Chemicals stored on the
premises.
2. There will be no commercial vehicles, including trailers, kept within the
community:
3. There will be no customers frequenting your residence.
4. There will be no trucks delivering supplies to your residence.
.5. There will be no advertising which can be viewed by any
resident or identifying the Association's address in any
advertisement.,
Thank you and we wish you well with your business.
cc. Beard of Directors
Sincerely,
For the Board of Directors
Palm Royale Country Club HOA
r"
J rr felma Manager
P. t
M�frp
1518 West Taft Avenue ❖ Orange, California 92665 ❖ (714) 279-1122 •:- Fax (714) 279-1130
NZ
78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) 777-7000 '
FAX (619) 777-7101
Every employer who applies for any license or a renewal of any
license for a business issued pursuant to Section 37101 of the
Government Code or Section 7284 of the Revenue and Taxation Code
shall complete and sign a declaration that states the following:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury, -one of the following
declaration:
I have and will maintain a certificate of consent to self -
insure for worker's compensation, as provided by Section 3700 for
the duration of any business activities conducted for which this
license is issued.
I have and will maintain worker's compensation insurance, as
required by Section 3700 for the duration of any business
activities conducted for which this license is issued.
My worker's compensation insurance carrier and policy number:
Carrier:
Policy Number:
A "COPY" OF THE POLICY SHOWING THE AMOUNT OF COVERAGE AND
EXPIRATION DATE FOR WORKMEN'S COMPENSATION IS REQUIRED TO PROCESS
THIS,APPLICATION.
I certify that in the performance of any business activities
for which this license is issued I shall not employ any person in
any manner so as to 'become subject to the worker's compensation
laws of California, and agree that if I should become subject to
the worker's compensation provisions of Section 37.00.
Date: kkk_qIGs Applicant:
WARNING: Failure to secure workman's compensation coverage is
unlawful, and shall subject an employer to criminal penalties and
civic fines up to. $100,000. In addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
Code, interest, and attorney's fees..
bus.fac
A.,
MAILING ADDRESS P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 ���,
1 -A-;26-1995 6: 04PM FROM'
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_41
Company:
Phone:
Fax: /j
From,
Company, GbId Coast Enterprises
Phone: (714) 279-1122 Extention#-- ox'
Second Floor Fax: (714) 279-1130
Date,
Pages including this cover page:
Comments:
I=]
Gold Coast Enterprises
Property Management
1518 West Taft Avenue e.. Orange, California 92665
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