ANDERSONi
Of (4a4t& BUS. LIC . NO.
IIIIIIIIIIIIIIIIIIII �' _ .GU
221992 -BUSINESS -LICENSE APPLICATION FORM
dle�
*APPROVED INITIALS DATE I _/U.- 92
*DENIED INITIALS DATE
******************************************************************
1. IS THIS BUSINESS LOCATED AT YOUR HOME: YES._ NO
2. Business Name: I if E rR U /V k L. 1 y E
3. Business Address: Sy -&6v _Ty,vev h, S ,4 . Mailing Address: S`,
5. Business Phone:(
6. Owned By: CORPORATION PARTNERSHIP INDIVIDUAL
7. If Corporation or Partnership: Tax I.D.#
8. If Individual Owner: Social Security # 3 S 9 - .;L q = 5-ci 3-5—
9. Name of Owner tFohe,rj,-n.- G-. l� ►�o(e rsoH Title: 0 L' ►,eY
Or Officers
10. Type of Business: G ; +5
11. SBE Resale Number: SR -EH -C-
12.
R -EH -G-
12. BUSINESS LOCATED WITHIN THE CITY OF LA QUINTA (Does Not Apply To
Building Contractors):
A. Estimated Gross Business Receipts for New Businesses Only:
$
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
•
a wNEF-
Title
Submit Form To:
CITY OF LA QUINTA
BUSINESS LICENSE DIVISION
P.O. Box 1504
La Quinta, CA 92253
�S- 19 -q A,
Date
U
78-105 Calle Estado
P.O. Box 1504
La Quinta, CA 92253
CITY OF LA QUINTA (619) 564-2246
HOME OCCUPATION APPLICATION
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 14AME120ber-�-c x,,012rSo h PHONE -7-7
PROPERTY OWNER"
` PHONE
PROPERTY ADDRESS -r-14-660 _Ch ver CA
TYPE OF RESIDENCE (single, multiple, mobile home, etc.)
TYPE OF 1 BUSINESS
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
/ _ . -r--. _ / _ . . A, i — ---__-
-.fie-
NUMBER OF PERSONS INVOLVED ININ S���S
LIST NAMES OF PERSONS EMPLOYED Q
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (.EXCLUDE GARAGE) O (1017CEIa1IUM STAMP
• LOCATION AND SQUARE FOOTAGE OF AREA OF NOV 0 u 1992
!�
BUSINESS ACTIVITY IN HOME (EXAMPLE, /¢((�_6_g
"BEDROOM - 125 S.F.") D g
Y
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE
BUSINESS OPERATION rL&
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
(� �� -� �, - t g� -9 �,,
APPLICANT SIGNATURE nArpr
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENZ
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 DepartmentT5A
` FsL�#APPROVED Bzw"-I42— .DATE; .. I jo
CONDITIONS ATTACHED -,LZ -2-
DENIED BY DATE
•
•
NOVEMBER 3, 1992 PGA WEST RESIDENTIAL ASSOCIATION, INC.
71
ROBERTA G. -ANDERSON:' :•
54-660 INVERNESS
LA QUINTA,•CA 92253
DEAR MS. ANDERSON:. s,
THANK YOU FOR YOUR LETTER REQUESTING PERMISSION TO OPERATE A
BUSINESS FROM YOUR HOME AT PGA WEST.
PLEASE BE' ADVISED THAT AT THE BOARD OF DIRECTORS MEETING ON
OCTOBER 29, 1992, YOU WERE GRANTED PERMISSION TO CONDUCT YOUR
BUSINESS:FROM YOUR HOME LOCATED AT 54-660 INVERNESS.
IT IS UNDERSTOOD THAT THERE WILL BE NO VISUAL OR AUDIO SIGNS OF
THIS BUSINESS BEING OPERATED FROM YOUR HOME AS WELL AS NO
ADDITIONAL TRAFFIC..
THE BOARD OF DIRECTORS RESERVES THE RIGHT TO REVOKE THIS
DECISION.
SINCERELY:
: r xe.�
MIKE WALKER
PROPERTY MANAGER
P.O. Box 12710, Palm Desert, California 92255, Telephone 619-341-0393 FAX 619-346-5632