PP 1987-376CITY OF LA UINTA 0
Department of Community Development
78-105 Calls Estado
La Qui CA 92253
Case H o. 67
Date Received ; 1 - 17- S- 7
PLOT PLAN APPLICATION
In order 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 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 - REFUNDABLE FILING FEE
OF $ 7 S _ , COPIES OF A COMPLETE AND ACCURATE PLOT PLAN
AND SUS OF ELEVATIONS AND FLOOR PLANS.
- - - - - - - - - - - - - - - -
-- - - - - - --
Name of Applicant r v e ott CA w 44,vo Phone w5e
Mailing Address / 7 �� C�iel4tv / &
Legal Owner r4 W A Vy► e ;e / C,4 ti �, � w n J v e �a rr+ e,
Address / 7 4�. �2 =�� �t c4L�e OJT r C 12 6 c►
Proposed Use
Location of Property (Address if known) 7�?-A 52 Fa s- 9 W*A i•�,
Assessor's Parcel Number
Legal description of property (Give ezaot legal description as recorded
in,the office of the County Recorder) - (May be attached)
Ct l g - b3 ZI y
Signature of Applicant C Dat —/C J /
Signature of Owner
GcJLvn `aer !S rwa--'
,6e,J coq. R,.✓►
Date - - / 4 `"
A7327 2 17 75,00 T[
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