SBA 1993-19978-105 CAR ESTADO — LA OUINTA, CALIF04A 92253 - (619) 564-2246
CASE NO: C 3 1 ` q
CITY OF LA QUINTA FEE: $100.00
PLANNING & DEVELOPMENT DEPARTMENT.
APPLICATION FOR SETBACK ADJUSTMENT
APPLICANT: Submit this form with two copies of a scaled site plan,
drawn to adequately depict the nature of the request. A nonrefundable
fee of $100 is required when the Application is submitted. Check must be
make payable to the "City of La Quinta".
If the Applicant is not the owner of the property, a letter must be
submitted by the owner authorizing the 'Applicant to execute this document
in his behalf.
PLEASE PRINT OR TYPE
APPLICANT/CONTRACTOR: ��1/I�EL. �/�yT�eEs �.✓c
CONTACT PERSON (IF DIFFERENT) �,/� L�/✓Cf�
MAILING ADDRESS:
P. o. aox
(Address)
4s D 64 P of ,3 rA
OWNER'S NAME: ,%E S
MAILING ADDRESS: P.D. 'R o X
(Address
City
DATE 9 �
PHONE
<ZA . 9zz 5 3
(State) (zip)
PHONE 561- - J 80' b
4 or #j--A CA 121, zu
City) (State) (zip)
STREET ADDRESS OF
PROPERTY: 54-'loS' X
v6Hib a ACA49A DO
LEGAL DESCRIPTION
OF PROPERTY: LOT #
S '8� TRACT�Vj
cL 'Jr
ASSESSOR'S PARCEL NUMBER: %%q - Zo Z - o/S
ADJUSTMENT
REQUESTED:
9(5A;2
L/ iU E SE77;?,R(fFoe PC-0 1 �iyA i�1Z
bk)6)
T-P Xt S'
-Fo
3
REASON FOR
REQUEST:
-DO E
Ty SM A / L L p-r =F- r -rA-T'6
n
4-1&-,b S KE?'c,�-/
AU
JUSTIFICATION: .No request for a Setback Adjustment s all be granted
unless it is determined that it is consistent with the in end and purpose
of this Ordinance; that there are special circumstances applicable to the
property, including such factors as size, shape, topography, location or
surroundings that justify the approval of the adjustment of the setback
requirement, and that the adjustment will not be detrimental to the
health, safety, and general welfare of the community or be detrimental to
property in the area of the parcel for which the adjustment is requested.
FORM.013/CS
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