Sanders•
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73
CITY OF LA QUINTA
HOME OCCUPATION APPLICATION
/8-111d5 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 PHONE
PR
•PERTY •WNER
/ � � �� .r �rPHONE �%�%
PROPERTY ADDRESS
TYPE OF RESIDENCE (single, multiple, mobile home, etc.)
TYPE OF BUSINESS
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN AIA In kar,
HOUSE (EXCLUDE GARAGE) L1 TkTAM
•LOCATION AND SQUARE FOOTAGE OF.AREA OF �v
BUSINESS ACTIVITY IN HOME.(EXAMPLE,, 0. 319g2-
"BEDROOM - 125 S.F.,, ) l p� 1)o
r BY
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIF_S
BUSINESS OPERATION ' 1.ry A n , V'(?Aa.1) . n&Azl, cOn ,i,
C
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
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.
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Buildina and Safety Dep tment G�
l
APPROVED BY DATE
DENIED BY DATE
CONDITIONS ATTACHED
CITY OF LA QUINTA
HOME OCCUPATION APPLICATION
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 PHONE ov
PHONE
is
• /�%'9�.��i� _�=.�r�. �_ie•�.:r—a.!-�:��� _'li ��iv9li t!II�u �'•i�/
PROPERTY ADDRESS
TYPE OF RESIDENCE (single, multiple, mobile home, etc.)
TYPE OF BUSINESS
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE) �w
LOCATION AND SQUARE FOOTAGE OF.AREA OF
y' BUSINESS ACTIVITY IN HOME. (EXAMPLE,
"BEDROOM - 125 S.F.") ,a�.%P.,'1 9)0:s*
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLI
BUSINESS OPERATION ' J^ An .1/'(L"A . n
ia, C 0.3 1992
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
F34?jffoxl'y NATURE
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.
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Bu'ldin and Safety De tment
1/
\ APPROVED BY DATE CONDITIONS ATTACHED
DENIED BY DATE
0
•
•
Q v S. LIC. NO.
y
,72"-4� f7
1992 BUSINESS LICENSE APPLICATION FORM II"III111 1111 lilt
2
*APPROVED INITIALS DATE /-? _ 9�
*DENIED INITIALS DATE
******************************************************************
I. IS THIS BUSINESS LOCATED AT YOUR HOME: YES t,"' NO
2. Business Name: J,—ck-g'e-AS
.3. Business Address :�-6Q / Motr+j nez 4. Mailing Address:
5. Business Phone: ( C _) ..`�'6 L� - S%07
6. Owned By: CORPORATION PARTNERSHIP INDIVIDUAL
7. If Corporation or Partnership: Tax I.D.#
8. If Individual Owner: Social Security # 572- S'S- 3 6 Y3
9. Name of Owner �ccre.�1 �� Title:
Or Officers
10. Type of Business:
11. SBE Resale Number: 19
12. BUSINESS LOCATED WITHIN THE CITY OF LA QUINTA (Does Not Apply To
Building Contractors):
A. Estimated Gross Business Receipts for New Businesses Only:
$ /5-0-29
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