PP 1987-384-A9 CITY OF LA QUINTA 0
PLANNING & DEVELOPMENT DEPARTMENT
78 -105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Case No.
Date Received -
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 and submitted with the application is stated
on the back of this form. 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 $ JO Q - O.1 AND 'L-- COPIES OF THE COMPLETE AND ACCURATE
PLOT PLAN, LANDSCAPE PLAN AND ELEVATIONS.
------------------------------------------------------------------------
Name of Applicant && &411x1 S j Phone Z;t 2
Mailing Address (tui
Street
City
Zip
Legal Owner
Address -2 2 0
Proposed Use
0
Location of Property (Address if known) 0
Assessor's Parcel Number /� BLOCb< 6 ��'s��7' �LL A M6 f7 /y/r" ,/
Al, Z 769 PJ /b
Legal Description of Property (give exact legal description as recorded
in the office of the County Recorder) -- (may be attached)
f r C, :.r ; ;,. =, 5..`37 , r
9.(i C:i�u'Ei 1. • 1Cjlrli_ ... j . 10( 01- .
Signature of Applica Date �U 7
Signature of Owner Date
7 ,1, f — 16 5"— 0 /0