MUP 2005-638O AOR
� �La Quinta
`�`µeommunity Development Department
78-495 Calle Tampico
La Quinta, California 92253
(760) 777-7125 FAX: (760) 777-1233
A
OFFICE USE ONLY (?—
Case No. lV d bf—
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Date Recvd. 4-45
Fee: �6 -?b. m
Related Apps.:
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R MINOR USE PERMIT 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.
APPLICANT -eEf-7 PAS /4A A4(-i,xJi,4
(Print)
MAILING ADDRESS ;?06 kE 14 / Dd Phone No. 160-8 :31 - g z �8
CITY, STATE, ZIP: C�_;SC'O,y6� 0A. 72� S Fax No. qo -g3iJ- 8.24
PROPERTY OWNER (If different): t=� CEJ
(Print)
MAILING ADDRESS: Phone No.
CITY, STATE, ZIP: Fax No._
PROJECT LOCATION: r.0 .3 i X33 � A- k ,,-0i 4 (,4 . &4(A -)T -q O
PROPOSED USE AND/OR CONSTRUCTION (Including operational information):
7-" I L fe - 7 �rn Po,24 ,42u
dial be
(attach sheets if neededl
LEGAL DESCRIPTION (LOT & TRACT OR A.P.N.):7 �e• 3l `%3 ��N �� -,zea -002-Z
ZI 7- 722 Age
A18\Minor Use Permit
SUBMISSION REOUIREMEN -
❑ Plot Plan, floor plans and elevation plans (as determined by Community Development Department staff).
Five (5) sets of plans on 8%2" x 11" sheet or folded down to 8'%Z" 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 OF APPLICANT �j/� 4 D
SIGNATURE OF APPLICANT
DATE h/-ag- a5
NAME OF PROPERTY UNEtt---r nvii;1As
(Please Print)
SIGNATURE OF PROPERTY OWNE
IF NOT SAME AS APPLICANT: � z DATE
(Signature provides consent r 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.
A I Minor Use Permit