SBA 1995-366CASE NO: _15 3lD(p
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
submitted by the owner authorizing the Applicant to execu
in his behalf.
APPLICANT/CONTRACTOR:
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( C PW P(J- 11 i.( DATE
CONTACT .PERSON ( IF /D'IFFERENT) ((��C 6e — p ,,,, tt PPPHONE``E
MAILING ADDRESS: (pi� ^� d 1 (�,c-t{? - ,CpQ C 7 _ (.dc i
letter must be
:e-"th s.do_�^ent
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PLEASE PRINT OR TYPE I
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1�-ZIT6
(Address) ` (City) (State)
OWNER'S NAME: �G10(C� PHONE
MAILING ADDRESS:
(Address) (City) (State) (Zip)
STREET ADDRESS OF PROPERTY:
LEGAL DESCRIPTION OF PROPERTY: LOT # 6 TRACT /JLK q,7
14
ASSESSOR'S PARCEL NUMBER: C U LG� ��
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JUSTIFICATION: No' request for a Setback Adjustment shall be granted
unless it is determined that .it is consistent with the intend 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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APPROVED BY PLANNING& DEVELOPMENT DEPARTMENT
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EXHIBIT
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CASE NO.
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AREA MAP
KEY MAP NO.
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CONTRACT
OF��� RJOBER
NAME L L
AD
LA cA
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PROPERTY LINE
0 UTILITY POLE
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SKIMMER
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UTILITY EASEMENT
FENCE (HEIGHT,TYPE)
OE ELEC. PANEL
@ GAS METER
@ BLOWER
(D VOTER LEVELER
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OF FILTER
LIGHT
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PVC DRAIN
A ALAIERICAN
UNDERGROUND ELEC
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—G—G-- UNDERGROUND GAS
S BENCH MARK
REMOTE\ALVE
LHj HEATER
THERAPY
GRAB RAILS
OVERHEAD ELEC.
WATER DEPTH
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OD MAIN DRAIN
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OVERHEAD TELE.
RAN �>
SWITCH
P TRAP
C> Pump.
13GAS GRILL
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RECEPTACLE
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4,-CUP ANCHOR
SEE NOTES
,PEDESTAL
L BISHOP GRAPHICSIACCU PRESS
PtEORDEa NO, A27590
4c�TRUCTION
�,-- 68-57S SAn F980
Cathofti city, CA 92234
(619) 3224M9