PP 1980-5812hiv,•isid'. 011 i.:e
4080 Lemon 5C['eet
Ninth Floor
Riverside, CA 92501
(714) 787 -6181
4
l
R . Llll: COUNTY PLANNING DEPARTMI
PLOT PLAN A P P L I C A T I O N
Desert Office
46 -209 Oasis Street
Rouin 304
Indio, CA 92201
(714) 342 -8277
In the interest of processing your applic!atioci in a timely manner please cowplete this form.
Failure to provide the required information is ju �_
stifiat.i.on for rejection of the application.
The attached plot plan check list must be followed in order for your application to be
accepted. Do not hesitate to contact our offices should any questions arise regarding your
application.
Name of Applicant L 0 0 080l rk h Dl" 6 , 0 , 7 Phone
Mailing Address �• lyvx ^, 0 _ �_ "� ��� u
Street City Zip Code
Legal Owner ali/1('Jl Wrt �Ot V\ Cc� 1 C.,
Address 9 ox 0
Proposed Use
Location of property (Address if known)
L..::i C�y! ..1 • . r
Assessor's Parcel Number 3 1 3 00 9 _3
Legal description of property (Give exact legal description as recorded in the office of the
County Recorder) - (May be attached)
THIS APPLICATION MUST BE ACCOMPANIED BY A NON-R I EFUNkABLE FILING FEE OF $ ®® , 1
COPIES OF A COMPLETE AND ACCURATE PLOT PLAN AND ETS OF ELEVATIONS AND FLOOR PLANS.
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PLANNING DEPARTMENT USE ONLY
Plot Plan Number O Module Number
Supervisorial District Zone
•
Districts A. _� V ` �/ General Plan Area
Geologic Hazard Zone Land Use Element
Related File �"' ` .. •O'
Transmittals sent to: oa
Fir
Heal
Open Space /Conservation
f 4z 1% OL
S
Date transmittals sent U =' t�) Return date
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