MUP 2001-284•
City of La Quinta
Community Development Department
78-495 Calle Tampico
La Quinta, California 92253
(760) 777-7125 FAX: (760) 777-1233
•
OFFICE USE ONLY
Case No. NWP 2,00
Date Recvd.t 0
Fee: � �".T
Related Apps.:
Logged in by:
APPLICATION FOR MINOR USE PERMIT APPROVAL
a
MINOR USE PERMIT applications are reviewed and approved by the Community Development Director
pursuant to Section 9.210.020, of the Zoning Code. The purpose of the review is to ensure that land uses requiring
the permit do not have an adverse impact on surrounding properties, residents, or businesses.
APPLICANT 1 I 1,
Air l on �l [� � 1 I i ac�
(Print) '
MAILING ADDRESS 2 Phone No.jJ4] rj 1
CITY, STATE, ZIP: �YlGilO �Z�Fax No.(^76) 115-$4149
49
RR$ R (If different):
(Print)
MAILING ADDRESS: � rfl e a5 auNt Phone No.
CITY, STATE, ZIP:
PROJECT LOCATION:
Fax No.
PROPOSED USE AND/OR CONSTRUCTION (Including operational information):
LEGAL DESCRIPTION (LOT & TRACT OR A.P.N.):
AI8\Minor Use !lit
RECVD FOR PRO SSING
( E)
ASSIGNED TO
(INITIALS)
CITY OF LA QUIN1A
FINANCE DEPT
9
p Plot Plan, floor plans and elevation plans (as determined by Community Development Department staff).
Five (5) sets of plans on 8'/2" x 11" sheet or folded down to 8'/z" x 11".
❑ Filing fee for Minor Use Permit. If filing multiple applications, the most expensive application will be
charged full fee, with remaining related applications discounted 50% for each. This discount does not apply
to Environmental Information form.
M
NAME OF APPLICANT
(Please Print) = ;
� - Z
SIGNATURE OF APPLICANT 01 DATE
NAME OF PROPERTY OWNER I VM -A 04.
Woe L.p D'e-) (Please Print)
M
SIGNATURE OF PROPERTY O
IF NOT SAME AS APPLICANT: V4
(Signature provides conse for icant to use ite for proposed activity).
L)
DATE �k [ (P dyl
DATE
(Separate written authority by owner to submit application may be provided)
NOTE: FALSE OR MISLEADING INFORMATION GIVEN IN THIS APPLICATION SHALL BE
GROUNDS FOR DENYING APPLICATION.
AIMinor Use Permit
FAXTRANSMITTAL •
s City of La Quinta
5w Community Development Department
78-495 Calle Tampico
La Quinta, California 92253
Phone: 760-777-7125
Fax 760-777-1233
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.....................................................
TO: �C' T l/c G FAX NO. — deo° C
FROM:
DATE: 77 161
Comments:
FAX NO. (760) 777-1233
Page 1 of q__-
Comments:
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If you did not receive all pages of this document, please call (760) 777- 86
MAILING ADDRESS: P 0 BOX 1504, LA QUINTA, CALIFORNIA 92253
PAFax. wpd
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