PP 1995-560CITY OF LA QUINTA
PLANNING & DEVELOPMENT DEPARTMENT
78 -105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
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Case No.
Date /
L`
of
Owner
Date
Date Received
PLOT PLAN APPLICATION
In o der to process your application in a timely manner, please
complete and sign this form. The information which is required to
be shown on the plans and submitted with the application is stated
on the back of this form. Failure to provide the required information
is justification for rejection of the application.
THIS APPLICATION MUST BE ACCOMPANIED BY A NON- REFUNDABLE FILING FEE
�7 m
OF $ AND COPIES OF THE COMPLETE AND ACCURATE
PLOT PLAN, LANDSCAPE PLAN AND ELEVATIONS. J b t '
Name of Applicant i1� �� �yy�L�iV I��C Phone, 771 2,766
Mailing Address
Street City Zip Code
Legal Owner S�4/rZF
Address
Proposed
Location of Property (Address if known) aU /"7"a 2A
Assessor's Parcel Number
Legal Description of Property (give exact legal description as recorded
in the office of the County Recorder) -- (may be attached)
Signature
of
Applicant
Date /
Signature
of
Owner
Date