PP 1987-383t
CITY OF LA QUINTA
Department of Community Development
78-105 Calls Estado
La Quinta, CA 92253
"! f Lo Sciic� —
PLOT PLAN APPLICATION
Case No. V 7 r 3 8--
Date Received 2 -g
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 $ ®, _/ S _ COPIES OF A COMPLETE AND ACCURATE PLOT PLAN
AND SETS OF ELEVATIONS AND FLOOR PLANS.
------------------------------------
Name of Applicant
X /-7 Se�2 ti Phone
S G
` " 2 Z 2
Mailing Address
✓� d
/� � �C 3 Z L
Z 2 S 3
Legal Owner - /c/G/( l t-1 S� c- -,- -
Address --- ILI
Proposed Use
Location of Property . (Address if known)
cam( 62 4-7 ;'- Z' Zc - ,' 4--7`% -
Assessor's Parcel Number ' D ;7 ;2
Legal description of property (Give exact legal descri ion as recorded
in the office of the County Recorder) - (May be atta �' �'s`' "' " '~
�6 �nl�f PLC fiffr .
Signature of Applicant % �� Date
Signature of Owner Date