PP 1994-542CITY OF LA QUINTA
ING & DEVELOPMENT DEPARTMENT
78 -495 CALLE TAMPICO
LA QUINTA, CA 92253
V 10 1 1 1 cri— Ply
' PRECtSE -i+bMi APPLICATION
Case No.
Date Received // - a,7
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
information sheet. 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 ACCURATE SITE PLAN. ' NOV 2 2 1994
Name of Applicant: 06,1 ( CJ Phone:
Mailing Addr
Legal Owner:
Address:
(Street) (City) (State) (Zip)
Proposed Use:
Location of Property (Address if known): ��i - oZ�U Aul • yeJaA( n
Assessor 'a Parcel Number: /7 1 - 0a - n rL S- ,
Legal description of property (Give exact legal description as recorded in the office of the
County Recorder) - (May be attached):
�'C+ wk aa
Signature of Applic
Signature of Owner:
Date:
Date:
PRECISE