PP 1988-398, Amend #1A
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c Ey OF p� S 78495 CALLE TAMPICO — LA QUINTA,
Fee: - t — r, -g 2
p
JUN 2
Date Received CPl23lGiq
Received By 2
REQUEST FOR MODIFICATION OF AN APPROVED
RESIDENTIAL & COMMERCIAL DEVELOPMENT PLOT PLAN
Please complete this application form. The fee to process this request
is $3r.00.
On a separate sheet of paper explain the
modification requested � siting the condition or
regulation to be changed _
Plot Plan Number - 6`6-
Location /Address 44 99s
Assessor's Parcel Number
Section /Township /Range
/GIs Q0
- 0411 - v//
7994
I
Applicant's Name 6A-4211 Ao& /iVs
Mailing Address 0,L,yjc P ,4L!4S 20 �f
Phone:
Signature
Owner's Name
Mailing Address
Signature
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
FORM.018 /CS