2016 Applications STVR & BLBUSINESS LOCATION
51715 AVENIDA MONTEZUMA
BUSINESS NAME: DAHLQUIST, CECILE
BUSINESS ADDRESS : PO BOX 5639
BLUE JAY, CA 92317
By c~
FINANCE DIRECTOR
78-495 Calle Tampico La Quinta, California 92253
(76 0) 777 -7000
CERTIFICATE
NON -TR ANSFERABLE
Dear Business Owner:
Please be aware that issuance of a business license by the City does not authorize you to
conduct business in a building or tenant space that has not been approved for occupancy
by the Building and Safety Department. If you have any questions regard i ng this issue, or
if you are not sure if a Certificate of Occupancy has been iss ued for yourylace of
bus in ess, please contact Building and Safety at (760)777 -7012 . ~
The Licensee named herein having paid to the City of La Qui nta all fees required , license
is hereby granted said licensee to transact the business herein set forth, for the period
stated, in conformity with the Provisions of Ordinance No . 2 of this City. This Licensee is
issued without verfication that the licensee is subject to or exempt from licensing by the
State of California.
BUSINESS LIC NO: LIC-_1:62623
CLAS STFICATION: srv~RENTAL HOMEOWNER
EXPIRATION DATE : 6/30/2016
City of La Quinta
Finance Department .
78-495 Calle Tampico
La Quinta, CA 92253
(760) 777 -7150 (760) 777-7105 fax
finance@la-quinta .org
HOMEOWNER APPLICATION FOR SHORT-TERM
VACATION RENTAL REGISTRATION PERMIT APPLICATION
Chapter 3.25 of the La Quinta Municipal Code requires a valid registration certificate of all short-term vacation rental units rented 30 consecutive
days or less . The annual registration fee of$25 (per unit) must accompany this a,e_e lica ~on . A business license is required. PLEASE PRINT
OWNER NAME(S): C ~ \. Lt= DA-+\ l Q u c ~
~AILINGADDRESS: ~~---~~-~~~-~~-·~~~~~~~~~~~~~~~~CIT~ STAT~ZIP:~·-~-~~~-~~~-·~~-~~~~~~~-~~3_(_~~~~~~~
E-MAIL ADDRESS: QP C..: I e d0 lA lq '-''-~ 1Q PHONE NO.: _____________ _
cP1easeprovidethebest~~~~~;;~d~>ENTAL PROPERTY ~vtt_4-·1 \ _ cliJ
C-( _ ~tach additional s~eets as necessal}'), _ , · 11:-~
PROPERTY ADDRESS: -..::> --=4-\ ~·· N-evt l c.L tr---V~ NO. OF BEDROOM ·
...
HOA CONTACT NAME (if applicable): ---"'"'---1/'----'1_1
\ ______ _ HOA CONTACT NO: ___ _
INTERNET LISTING SITE : A< (l ~~_n LISTING NO.: _____________ _
I PERMIT NO.:~ .. ___ ....__ ___ _
If you do not utilize a management company and rent directly by owner, you must authorize a local contact person who is available 24/7/365 to
a nswe r and respond to hotline complaint calls within 45 minutes.
~heck he re if the own er will be loca I contact person. 0th e rwise, p I ease fill out section be low.
LOCALCONTACTPERSON: ___ ~-___j~---------------------
CELL PHONE NO :
~~~~~~~~~-
PHONE NO.: _________ _
LOCAL CONTACT PERSON'S ADDRESS : _____________________ _
Good Neighbor Brochures muSt: .be placed in prominent locations in all rental properties as well as provided to the designated 'responsible
person' in each rental party. By signing this Short-term Vacation Rental Permit Application, you acknowledge that you have received copies
of the Good Neighbor Brochure and understand and accept the responsibility of giving copies to the responsible person in each rental party as
well as placing brochures in rental properties. -jA O ~
If your property is located within a Homeowner Association (HOA) it is your responsibility to adhere to any HOA rictions regarding sho
term vacation rentals. ! ,., ~ 3 0 2015
I declare under penalty that this information is to the best of my knowledge, true, correct, and complete. CllY OF LA QUINTA
COMMUNITY DfVELOPMENT DEPARTl..ENT
Amount Paid : r Qt; 'Q O
Checked By: ___ __;:....:._ __
•
.. . . ..
City of La Quinta Finance Stamp
Finance Department
Busine ss Licens e Div ision
78 -495 Calle Tampico
La Qu i nta, CA 9 2253
(760) 777 -7150 (760) 777 -7105 fax
finance@la -quinta .org
lo)r-=-~~O"----.fm
~j MAR 1 2 2015 Ul_}
SHORT-TERM VACATION RENTAL
BUSINESS LICENSE APPLICATION FORM
BUSINESS LICENSE APPROVAL: APPROVED BY __ _ DATE ____ _ CLASS __ _
BUSINESS NAME: _C_~_\_L_~ ___ JJ~ftrr.-~_L_:Q;~~-4-~_r ____________ _
BUSINESSADDRESS :_~~~_-____ s_r_-_~_l _~~--~~-~~~'~~D-~~~~--~-~----
CITY/STATE : --~=---Q_ __ v _,__..t....J.._In=:-..__.._.._ _______ ZIP CODE : q Z 2-)~
MAILING ADDRESS : =pos:r ~ C-te r&c-1' 54b oi
CITY/ST A TE o ~\,,_,,_,, 3'.::-4 I C .f>r ZIP CODE o '12-3 A-
BUSINESS PHONE : c~~ ";?, 'l--~ctr--E-MAIL ADDRESS : e e c ,\.e OA. h. [q Vt 'S.. r Q
NAMES OF OWNERS OR OFFICERS AND TITLE : ee~· Lt._ ~ [.,~ \:).?---~ \~ v <::;;:( ko~~~\ ~
1. a . ESTIMATED GROSS BUSINESS RECEIPTS (NEW BUSINESSES ONLY): $
b . PREVIOUS YEAR GROSS RECEIPTS FOR ESTABLISHED BUSINESSES : $ _ __.c[2C'------
* SB-1186 State Fee s s1.oo ----"-=~---
TOTAL FEES: ...,_$ __ [_a_._~--
BUSINESS TAX SCHEDULE
HOMEOWNER PROPERTY MANAGEMENT CO.
CLASS 2 CLASS 3
GROSS RECEIPTS RANGE: ij ~ 0 ~ 0 -25,000 C:Ua.oo~ $21.00
25,001 -50,000 30.00 36.00 r I i /,, ~ o 21 50,001 -100,000 36.00 43.00 15
100,000-250,000 46.00 66.oo cny OF LA Ql!IN A
~f"'l~A'i•llfol!T\ ,...,..,.r rn·:'.:,\T EPARTf/.;::NT
I HEREBY CERTIFY that all 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:--+~------=---+~:::---=:::=--"""-~--~===-----DATE :
--------------------~