ADAO•
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FEE $35.00
�i�� � aM�tM PAID
DEC 18 1996
CITY OF LA QUINTA CITY OF LA OUINTA
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 if
the proposed activity can comply with the City's Home Occupation
Regulations.
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BUSINESS NAME jol1W. mnn c;qi 1 ina „�wv
PROPERTY OWNER ipa;mp & T)Phnrah Lian PHONE
PROPERTY ADDRESS 47-815 via Ni nP, T.a tint,, CA 92293
MAILING ADDRESS S as above
TYPE OF RESIDENCE (single, multiple, mobil home, etc.) Single'
TYPE OF BUSINESS yn,,',t- nhartPr hrnkPrc
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE Tndivi dual � Call
responding to advertising in national over)
NUMBER OF PERSONS INVOLVED IN BUSINESS TWO
LIST NAME OF PERSONS EMPLOYED None -owner onerated
SQUARE FOOTAGE OF USABLE FLOOR AREA
IN HOUSE (EXCLUDE GARAGE) 1950
LOCATION AND SQUARE FOOTAGE OF AREA
OF BUSINESS ACTIVITY IN HOME Bedroom, 260 square feet
(EXAMPLE, "BEDROOM -125 S.F.")
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE
BUSINESS OPERATION Computer, telephones, fax machine, brochures for mailings.
HAVE'READ, UNDER;7AND, AND AGREE WITH THE CONDIT
M OCCUP IOir%I;ir/ ALLOWE - MGNDITIONS_ATTACHEDA-
-IF APPLICANT IS OTHER THAN..'TROPER"' O"XR,
OR AGENT IS REQUIRED, •
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CH A
AUTHORIZA-TION OF qI WR
OWNER/ AGENT S1
NG II ORMATOON SHALL- R+ANT: 'FALSE OR,MISLEADI
O;,.�IIRET'COMPWbENYING YOUR GR tiJNDS
s.
;I:ISTED O f�THE ATTACKED PF�GE 5:L BE GROUNIIS 'P4R RZY_C�CA$1
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e ;' '• �� _ '�' �' :��- �u�1 �. z�. j��
n "SafK De a taftlliiint:'
DENIED �ZTIO:ACkI3` ' ._
t.:.FROVED-. v __ _.
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All.follow-l'up is,Jbhe by:mcUltrnd,.telephone, Me have no walki,n traffic.
.M. "
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78-495 Calle Tampico, La Quinta, CA 92253 (619) 777-7050
Dear Business License Applicant:
FAX (019) %77-7011
every employer who applies for any license or for 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 comolete and sign a declaration of the states the following:
WORKER'S COMPENSATION DECLARATION
I hereby .affirm under penalty of perjury, one of 'the following
declaration:
I have andwill 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 raintain worker's compensation. insurance,
• as required by Section 3700, for the duration of any
business activities conducted for which this,license is
issued.
My workers'.compensation insurance carrier and policy number
are:
Carrier
Policy Number
�I certify that .in the performance of any business
activities for which this license is iss:ied 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 work s'
com ensation provisicns-of Section
Date 1�a`Applicant:
c
WARNING: FAILURE TO SECURE WORKERS' COI4PENSATION COVERAGE :S
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIC FINES UP TO $100,000, IN ADDIT:,%N '"0 T`...E COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR
CODE, INTEREST, AND ATTGRNEY'S FEES.
uAILING AMPIESS . P.O. BOX I SW IA Oa INT& CALIFORNIA 92M IC
" LAKE LA QUINTA HOMEOWNERS ASSOCIATION
c/o J. & W. Management Co.
P.O. Box 1398
Palm Desert, CA 92261
(619) 568-0349
April 8, 1996
Deb and Wayne Adao
47-815 Via Nice,
La Quinta, CA 92253
Dear Mr. and Mrs. Adao:
The Board of Directors of the Lake La Quinta Homeowners Association have reviewed your
request for permission to operate a business in your home at Lake La Quinta. Your request was
approved unanimously by the board, with the following conditions:
No employees are permitted on site
No customers will be permitted to visit your home
No loud noises
We certainly wish you success in your new venture.
*Sincerely,
For the Board of Directors
LAKE LA QUINTA HQMEOWNERS ASSOCIATION
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