MUP 2005-64901
F04ANce • P�
'uinta
velopment Department
tmpico
fornia 92253
AX: (760) 777-1233
Z S Z_ AVIS
APPLICATIONTOR MINOR USE PERMIT
OFFICE USE ONLY
Case No. YOUto OS' (otf y
Date Recvd.
Fee: 4P —?5.00
Related Apps.:
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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.
APPLICANT �� �f�.A� d;l'ru.JT,4 , LLC—'
(Print)
MAILING ADDRESS 200 /TUE 44/Dd Phone No.
CITY, STATE, ZIP: &,-) , 0A. 9w.2s- Fax No. 166 -93`/- 92-4
PROPERTY OWNER (If different):
(Print)
MAILING ADDRESS: Phone No.
CITY, STATE, ZIP: Fax No.
/ /67- W, ^,9AJ'<'019e
PROJECT LOCATION: r C 31�&
",vi,4
PROPOSED USE AND/OR CONSTRUCTION (Including operational information):
(attach sheets if needed)
LEGAL,, DESCRIPTION (LOT & TRACT OR A.P.N.): f ,2. ;31'733
)—P % 710
A18\Minor Use Permit
S.LMM.TSSI_ON RFS RFMEN1,03-
�r£ 4AV
❑ Plot Plan, floor plans and elevation plans (as determined by Community Development Department staff).
Five (5) sets of plans on -8V2" x 1.1" 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 (N( -(d 1-1AgC oq-5r iAl�-
(Please Print)
SIGNATURE. OF APPLICANT DATE
NAME OF PROPERTY OWNER
(Please Print) .
SIGNATURE OF PROPERTY OWNER(S) ,
IF NOT SAME AS APPLICANT: L/C,� Sji r i DATE
_f
Z2
-- (Signature_provides-consentfor--applicant-touse -sitefor
proposed a -- -
ctcvrty): - ---- - -- - . -
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