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MUP 2002-3694 • 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. Date Recvd. Fee: te -74— 4--M-2 --r Related Apps.: Logged in by: APPLICATION FOR MINOR USE PERMIT APPROVAL MINOR USE PERMIT applications are reviewed and approved by the Community Develospruent irecl pursuant to Section 9.210.020, of the Zoning Code. The purpose of the review is to ens _thatTaiV-9ses the permit do not have an adverse impact on surrounding properties, residents, or I I , APPLICANT V t TT- C1SY ANCE p Ep T (Print) MAILING ADDRESS U410& q (,kCC- 0f 4, Phone No. '77 2 CITY, STATE, ZIP: P 11,AA 0 d-? NA 1'�9 � S -2 20 1 Fax No. 7 -7 2 PROPERTY OWNER (If different): n, (Print) �p MAILING ADDRESS: `�`� S ©�� Cc> © N--) 2Phoonee No. CITY, STATE, ZIP: I^ ' f.Q OA ' q p aX o. 3 S n n PROJECT LOCATION: 4 ':�t ,C _7 ��_ OT-�) (a E7 G p Vj ` PROPOSED USE AND/OR CONSTRUCTION (Including operational information): Spc---cj, r\ L 'F U Ef—r)T—.C--.- — b, , & . GS D R T_ 1> Lk RF_ 't� �,DF_9,& °tZ) PPL ► �� N�7�� 00 ?PL- O N l l hEt(01A0N iWTT-�CRS L©O PPL IN LEGAL DESCRIPTION (LOT & TRACT OR A.P.N.): A18\Minor Use Permit ❑ Plot Plan, floor plans and elevation plans (as determined by Community Development Department staff). Five (5) sets of plans on 8'/z" x 1 I" sheet or folded down to 8'/2" x 1 I". ❑ 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. NAME OF APPLICANT 1 L1 TT l (P1 a e t) SIGNATURE OF APPLICANT DATE NAME OF PROPERTY OWNER j�>\ erica riu �� SIGNATURE OF PROPERTY Owl IF NOT SAME AS APPLICANT: ATE (Signature provides consent for applicant to use site for proposed activity). 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