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MUP 2005-624mma 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. H uIno�U05 — 6z4 Date Recvd. 3 - 31 -Cl- Fee: 75 -- Related Apps.: hi la Logged in by: ftk) APPLICATION FOR MINOR USE PERMIT APPROVAL A✓ P✓ L 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 t�IQ-�G L�,)A,�S,01J (Print) MAILING ADDRESS r78 S� �', Sur n�/0� Phone No. �-7 �/— 6�8 % CITY, STATE, ZIP: I—A CpLe"�"' 6 Q� 2g- 3 Fax No. PROPERTY OWNER (If different): (Print) MAILING ADDRESS: CITY, STATE, ZIP: hA E�- Fax PROJECT LOCATION: 136)5- 1// L.c.� ,<- 'D2 (i/� � awe -Th e�2► I s J PROPOSED USE AND/OR CONSTRUCTION (Including operational information): CGy► SS YLlC+16� (attach sheets if needed) LEGAL DESCRIPTION (LOT & TRACT OR A.P.N.): %(- V 10 1/0 ©U 6 A 18\Minor Use Permit oVBMISSION REOUIREMENTS • ❑ Plot Plan, floor plans and elevation plans (as determined by Community Development Department staff J. 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. NAME OF APPLICANT (Please Print) SIGNATURE OF APPLICANT 1 DATE -3/31 f )0 5 - NAME OF PROPERTY OWNER (Please Print) SIGNATURE OF PROPERTY OWNER(S) ; IF NOT SAME AS APPLICANT: DATE (Signature provides consent for applic to use site for proposed activity). i 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. A1Minor Use Permit