2020 Application BL4/8/2021 La Quinta > Administration > Business Form > Edit
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Casa De Las PlumasY 7Businesses �e oFS II�TNTCityLimits(RENEWAL) 515 Avenida Montezuma
Business La Quinta, CA
Workflows 9092892965
Tasks Due: 07/01/2020 Date Submitted: 11/23/2020
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Fees NEW BUSINESS LICENSE APPLICATION
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Business Name *
,Casa De Las Plumas
TYPE OF OWNERSHIP:
Sole Proprietorship Partnership Corporation LLC Trust LLP Non -Profit
DESCRIPTION OF BUSINESS:
short term rental
PHONE *
909 289 2965
EMAIL ADDRESS *
ceciledahlquist@icloud.com
Physical Address (i.e. Location of Short Term Vacation Rental, if applicable)
ADDRESS: * UNIT
51-715 Avenida Montezun
Mailing Address
Street *
PO Box 1294
Country
United States
State/Province
OWNER/OFFICER INFORMATION
NAME *
Cecile Dahlquist
Driver's License Number
N8923843
PLEASE ANSWER QUESTIONS BELOW
Unit
CITY *
La Quinta
Postal *
92352
TITLE *
Owner
Expiration Date
10/10/2021
1. Food Vendor? A COPY of a current Riverside County HEALTH PERMIT is required
Yes No
2. Corporation or Partnership?
Yes No
STATE * POSTAL*
California v 92253
City *
Lake Arrowhead
If Yes, A FEDERAL TAX ID NUMBER is required.
3. Retail business or selling product within the City? A COPY of a California Sellers Permit is required.
Yes No
4. NON-PROFIT Business- 501(c)(3)? You are exempt from paying fees - a COPY of 501(c)(3) status is required. *
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4/8/2021
La Quinta > Administration > Business Form > Edit
Yes No
5. Is your business name the same as your legal name? A copy of your Fictitious Business License is required.
Yes No
6. Selling or serving alcohol? A copy of your ABC License is required. *
Yes No
7. Massage Therapist? A copy of State License or Reciprocal License is required.
Yes No
8. Do you have Employees? * If Yes, Worker's Compensation Worker's Compensation Policy If No, are you a beauty/barber
Yes No Policy No. Expiration Date shop, nail salon, massage
Date establishment or other business
with independent contractors?
Yes No
9. Is your business located in a RESIDENTIAL area within La Quinta City limits? *
Yes No
SIC Code: This can be looked up at https://www.osha.gov/pis/imis/sicsearch.htmi if you do not know the SIC code.
Please indicate SIC Code: *
OTHER - Enter your SIC Code 7021 Rooming and
Boarding Houses 6531 Real Estate Agents and Managers
6514 Operators of Dwellings Other Than Apartment Buildings
If you selected OTHER, please type your SIC code here.
PLEASE NOTE: THE OWNER / OFFICER APPLYING FOR THE BUSINESS LICENSE MUST PROVIDE A COPY OF A VALID GOVERNMENT ISSUED ID OR
DRIVER'S LICENSE WITH THE APPLICATION. By signing this application, Owner certifies under penalty of perjury under the laws of the State of California
that it has reviewed the relevant Federal, State, County and local laws, and that Owner has provided all information to the City in this application as
required by those authorities. Owner further certifies that all information supplied by Owner on the application is true and correct and any license
required by the County, State or Federal Government have been issued to Owner and are in full force and effect. Owner further certifies that it has
conducted the requisite analysis required under Government Code section 16000.3(a) and (b), and that it has provided all necessary information as
required by that statute. Owner further understands and agrees that it is Owner's responsibility to check with BOTH the Building Department and
Planning Department to determine if any permits are required for this type of business and its location. By signing this application, Owner agrees to
indemnify, hold harmless and defend the City and any and all of its officers, employees, agents, and volunteers from any and all claims, obligations,
suits, judgments, penalties, causes of action, losses, liabilities, or costs that may arise out of the issuance of the business license, including, but not
limited to, claims that may arise under Government Code section 16000.3(b), and brought pursuant to Code of Civil Procedure sections 1085 and/or
1094.5.
Name (as electronic signature) * Title (Owner, Manager, Etc) * Date
Cecile Dahlquist Owner 08/18/2020
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