PP 1986-336i
0 CITY OF LA QUINTA 9
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
PLAT PLAN APPLICATION
J U'! J 1986
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPT
Case No. 19? Sr, 33 0
Date Received
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 $ , ® COPIES OF A COMPLETE AND ACCMUTE PLOT PLAN
AND SETS OF ELEVATIONS AND FLOOR PLANS.
Name of Applicant - -- 1 F'/f �L��v Ph one( ? / 9� a `� O
Mailing Address hw, �� 9 2 7<D
Street City Zip Code
Legal Owner
Address
Proposed Use
Location of Property (Address if known) xll r
Assessor I s Parcel Humber
Legal description of property (Give exact legal description as recorded
inn the office of the County Recorder) - (May be attached) L7, T_ yZcj
Signature of Applicant Date 6 z l✓
77 ,
Signature of Owner Date
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