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itutes an _ ` ;� t�� �•'° ; ;CITY,.OF LA` QUINTA r ; s .^�Yf�;
per�mit�M Al ?,'� t APPLICATION FO(i�PERMIT�';;;,
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cti yS "•PUBLIC WORKS .CO�N}}STy.RUCTIO,N ('}(+1EI/yCFiOACHMENT)
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(• For; the construction •of PP blIc 'Qr, privat„@p�•�curbs, ` rlveyyyyays p8vements, si(�ewalk 'yRprkirtg, lots,' sewers, water; m ins ' A t
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and .4otherlike public works Improyements in connection with MINOR. IMPROVEMENTS and APPROVED. SUBDIVISLO,NS'��
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QP, � b;; e,� ks l=yPr4valr-4n'.S J' 6��„�'?�+as~lic_s�Subdivi;Ic�nilmprouement�Perinit Class Ill�dkc,� f.i,
:DATE. 10 9-`87 - ;� _ ;'_ ,z = ;;� ; `,Minor. Improvement Permit Class IV 1
+ LOCATION OF CONSTRUCTION' Calle Tampico fat' • Deaert! Club` Drive
ds(stfeett-cdCgFS 9[.Qesc�iption.of.Locatiop),.�+,r; M ti t i� t
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'Ia?LF.URPOSE`OF�CONSTRUCTIONT*:a :1116w4„Sketch ouction`plan"s Ifapp".rMoupr
r` I edON T ee'attachplane—DERP4TIP O iate) .->.9"••r"•
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uL;dartpi�ns-ify-..j1rp�?fiiA J:
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IMEtNrSIO�Ny'O/Fy,�_INSTA�L�+LASTIONy`OYR�REMOVALt'"""'See•�Dlaiis'R �?''��_ '�'"'4 • '�','', t.(
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ee
»SIZE OF-EXCAVA�ION;'IF'NEEDED' '`•` w la 13r^�^ ""!�`„ USA Ticket-4355217
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i� APPROXIMATE;TIME WHEN WORK�WILL*B'EGfN'”` 10-;1-4_87 " ~� , Is.eued'; +t 10-7.-8.7+
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{LAPP.ROXIMATE`TIM'eOF,COMPLtETION"" '""`"1°0-28-8T�""�"°'�"'""'
,ESTIMATED RI�CTION°COSTr$ "'1',�000�'00� � °"' �°`1�, , y:
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(Including removal of all, obstruction ,'ma�terlals, and.•debrls, backfilling, coin r ,
«pacUon#an+d:plNr+a�cying permanent°resur a7�cing ar��"P or��r. acing'improvementsl'
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(w�Yf�pn�5i,}4:eration of the arantinp of is permit,'th'ekapplicant hereby agrees to: ' : �> F. j t1' • '� ,. ;i -. '
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jp;��y�ftd�mgj(,;�e[epd-i8nd,i5avQ,th@s,Cjtyyttsauthortied,agents,loffjcer`s; 'iepresr�ntatives and employees, harmless from and against any and all
�• penalties i bilines or, cjss{resu� ng, from laifrt tcoii an. ar
jkff;,:,ts!•. t.. ttl� .qr + :u.. rr _..w µd +',t �5., w3 9EjC,!,•.rt cii9.%qn0 !¢J118,tout Rf,p!!:Y SPCida. Ioss.Grxdamage.to persons r property....w.
happeninwor occurring as a proximate.; result. of+any work undertaken .under the permit granted pursuant,to this application z i
ti .;,„ ^h;!lC4) t1R tfils j T ;t''#ta ef!�tt2' ,Fn iiQtrslj� ;A"t }. i1:..t ; .:: .
Notify the Administrative Authonty at least .twenty-four (24) hours-in advance of the time-when work will be started.
Ail
Com 1 with all a licabla. Ci Ordinances;'the terms conditionsf the S�ermi end II a�f lice le.ru es alt e u atioos of he�.Cit M o • f 4i
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La•,06inta^and to payifor anytadditional'repla ment necessary as the. result ofth is r y f
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.fs:,�tf`d'lfe il>a-^Ctn,stfirYii ,IRili.l'iQrSYy:qt _I#pri-[Nil4�•y!f:tur �$),tt4ltiri a'YL'.t,ltttltii"nQf ti1.p'ttn'IH >#1 `il+:Yfir.OHtii BtRR4., •'t� "�.
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I . SignatureS�aAPP,I�nt or Agent
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Landmark Land Company P. '0.. Box 1000; La=.Quints; CA .92253 564-f2805
Name of Applicant (please print) ? �' ". Business Address st"' f tx. T ' Tele ho a No.
Landmark Land Compan, r,,i z'Same
a r1`'"v t, 4+
`•`, Nar@ o ,C,ontractir an Job Fo�eman).0 w t I�}'Business Address.,..,,—
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N*A*B' '444616 -(Fifes cali` r� . tom: = »� ' f. $e c'i> a s rt'ab.-,t 133 '° i efc#�i#ra P crr
Contractor's Licepse�No i ,'r,�+ w•+�s►•.{i••Www+w..+1.�.�:a�.""'w�.r.....r•r.-.w.vr,•C.I�.t�j�l-�8�.$-Y�.ICeflSex�10 r f +•w�►�+ ' 'j
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;tco�a's:r:ast.a �'
{ =1`97T110�.4=x 87 ' z"'�t� ji
Applicant's-,insurance CorrlPanY• '� . 4Y !� r
oil Nu be +
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4,�i•� ti 3rf'r1rit $ Liz4flut MOO ,� - ' f •, • � - , t .; t 3. ,k, r ± �
FEES: : Subdivision Improvement Permit — Class III
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Pub Ic "eit%s-:3%-6_f estimated construction costs Ptft3at i
'ittr�a'(�- 1 •i
Priv teimprove en 3, o st ►, ted: cgnstructio., costs��
Mirtor.;Im,provement:Permit ,,Class IV;18ea)attached schedule rM {. �• uy a" "r ;; �; : g77�
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Inspection t"60:s'00''i`�x's"`'�'tkz� PERMIT VALIDATION
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Permit Fee : - '',PERMIT NO �� 77 f
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Penalty,
{Cry;h _gp.st DATE.APPRgyEDw�°
• 0 1 ;Surety ,Bond.�.„rw«f, t
if required r .i f s•tZF.3/ t
S>cp `rQld •., ,,R ; EXP�I RATION DATE T r ;
TOTAL: $ 90.00 , r
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eceiVed'by
uthority,eceivei'byt
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