MUP 2003-411C,3-11-03 09:43 City of LaQulnta Comm.Dev.Dept
�' y of La Quinta
nmunity Development Department
495 Calle Tampico
�uinta, California 32253
�} 777-7125 F � 6_ - 3
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ATION FOR MNdk' $X�l�"ER�IVIIT
ID= 760 777 1233 P-01 A ix
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APPROVAL
MINOR' USE PERMIT applications are reviewed and approved by the Community Development Director
pursuant to Section 9.210.020, of the Zoning Code. The purpose of the review is to ensure that land uses requiring
the permit do not have an adverse impact on surrounding properties, residents, or businesses.
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APPLICANT_� , • ,-Q 2 1-, - er'L�,
(print)
MAILING ADDRESS l �� 1 ["�_ L- t tc �-f e .�� Phone No. (D y �I �( -7
CITY, STATE, ZIP:_ Lc--X-ni�zL.rcc _ Fax No. + �`
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PROPERTY OWNER (If different):
MAILING ADDRESS:
(Print)
Phone No,
CITY, STATE, ZIP: Fax No.
PROJECT LOCATION: �� RDS V- .L-A'
RIVtO �� -
PROPOSED USE AND/OR CONSTRUCTION (Including operational information): `Rd c� iii
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LEGAL DESCRIPTION (LOT & TRACT OR A.P.N.): Lo -tic t3Zo - -c-c -i-
Al &\Minor
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A161Minor Use Permit
A3-13-03 09:43: City,of LaQuinta Comm.Dev.Dept IDN 760 777 1233
' P.02
❑ Plot Plan, floor plans and elevation plans (as determined by Community Development Department staff).
Five (5) sets of plans on, 81/2" x 11" sheet or folded down to 8'h" x 11".
❑ Filing fee for Minor Use Permit, if filing multiple applications, the most expensive application will be
charged full fee, with remaining related applications discounted 50% for each. This discount does not apply
to Environmental Information form.
NAME 01: APPLICANT
SIGNATURE OF APPLICANT
NAME OF PROPERTY OWNER
(Please Pri
(Please Print)
DATE
SIGNATURE OF PROPERTY OWNER(S)
IF NOT SAME AS APPLICANT; DATE
(Signature provides consent for applicant to use site for proposed activity).
DATE
(Separate written authority by owner to submit application may be provided)
NOTE: FALSE OR MISLEADING INFORMATION GIVEN IN THIS APPLICATION SHALL BE
GROUNDS FOR DENYING APPLICATION.
PLEASE NOTE: If there will be any tents, trailers, or electrical connections, please
have the client go to the Building Department FIRST to determine
if a Building Permit is required before accepting a
Temporary/Minor Use Permit.
'lien : Please be advised the Community Development Department will contact
you to let you know if your approval tetter is to be picked up in the
Community Development or Building Departments.
For Building Department Use Only:
Permit required: Yeso No e
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