PP 1987-379L
' CITY OF LA UINTA 00-
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
PLOT PLAN APPLICATION
MAR I I TR7
Case!�No 6 rCp 7 Date Received 3 - �o
In order to.process your application in s timely manner, please
complete and sign this form. The information which is required to be
shown on the plans is stated on the attached Plot Plan Checklist.
Failure to provide the required information is justification for
rejection of the application.
THIS APPLICATION MUST BE ACCOMPANIED BY A NON- REFUNDABLS FILING FEE
OF $ ,oD COPIES OF A.COMPLETE AND ACCURATE PLOT PLAN
AND 37S OF IONS AND FLOOR PLANS. I-
- - - - -- - - - - - - - - - - - -
Name of Applicant i [�t E- Phone
Mailing Address 9 t__�
#zo T S
Legal Owner Ci - t V�-
Address 1_1 5 I Cn w L,J Si 2_ C'_A 9 „p j I
Proposed Use 1 k
Location of Property (Address if known) - 1 x,11 0 CU
Assessor's Parcel Number
Legal description of property (Give exact legs]'. description as recorded
in the office of the County Recorder) - (May be attached)
Signature of Applicant
Signature of Owner.
Date '3 `t b
Date '� (t /y7
A7500 3 11 75,00 16