PP 1987-380CITY OF LA QUMA
Department of Community Development
78-105 Calls Estado
La Quinta, CA 92253
Case No. P�f37 - 3 8 U
Date Received
PLAT 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 $ 3 j , Z S COPIES OF A COMPLETE AND ACCURATE PLOT PLAN
AND SETS F ELEVATIONS LEVATIONS AND FLOOR PLANS. + Se{' e f 8Y
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
.
.-Name of Applicant ��l Vie° y C - /��c'i� �2�°� Phone -s l `/- z �i z
'Mailing Address , P(
Legal Owner S / /Vi
Address r
Proposed Use �L �� � r2�� xee� /F�
Location of Property (Address if known) 4,7 TS % - s'
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
A7597 3 25 1086,50 16