MUP 2006-815•' FNANC9 0
RWAMW
City of La Quinta
Community Development D a- en
78-495 Calle'Tampigd,c
La Quinta, Californi�9i2213�_
(760) 777-7125 FA: F
F
FINANCE DEPT.
OFFICE USE ONLY
Case No. M 11 06
Date Recvd. %
Fee: �.75
Related Apps.:
Logged in by: A
For An Event of More Than 2,000 People, include Waste Reduction Info
APPLICATION FOR MINOR USE PERMIT APPROVAL
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
S-� /O� CC's' C i ► P o.) v
(Print) �},�
MAILING ADDRESS t-1 �' G o,�-ooa Phone No.�_ ' lG
CITY, STATE, ZIP: 6'�� Fax No.
PROPERTY OWNER (If different):
(Print)
MAILING ADDRESS:
CITY, STATE, ZIP:
Phone No.
Fax No.
PROJECT LOCATION: \ >) 4s3
�C� r
PROPOSED USE AND/OR CONSTRUCTI N (Including operational information):
t -J
(attach sheets if needed)
LEGAL DESCRIPTION (LOT & TRACT OR A.P.N.): ` � � & ��e !9S C a
% 3
AI8\Minor Use Permit
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.
NAME OF APPLICANT
(Please
Print) SIGNATURE OF APPLICANTC DATE
NAME OF �ROPERTY OWNER
(Please Print)
SIGNATURE OF PROPERTY OWNER(S)
IF NOT SAME AS APPLICANT:
(Signature provides consent for applicant to use site for proposed activity),
DATE
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.
A18\Minor Use Permit
RHANCK
City of La Quinta
Community Develo Mee
78-495 Calle `Tam q�,;
LaQ uinta, Californi' g2
(760) 777-7125 F : (�
2
IA . ,. a1.. _ 4 r.it-'45
OFFICE USE ONLY
ll Case No. /41 11P 06 Ps
4 t� Date Recvd. -7 - it/ - O
Fee: $�75
j Related Apps.:
Logged in by:
For An Event of More Than 2,000 People, include Waste Reduction Info
APPLICATION FOR MINOR USE PERMIT APPROVAL
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
Pof Sor
(Print) CN
/� C Phone No. / " 1 11� ' tG •��
MAILING ADDRESS 1'1 `�• ��
CITY, STATE, ZIP: �1i� \ `� _Fax No.
PROPERTY OWNER (If different):
(Print)
MAILING ADDRESS:
CITY, STATE, ZIP:
PROJECT LOCATION
PROPOSED USE AND/OR CONSTRUCTI
O
LEGAL DESCRIPTION (LOT & TRACT OR
AI8\Minor Use Permit
Phone No.
Fax No.
AtP
^ ,-
A
ach sheets if needed)
i
;SIO_ N REQUIREMENT • .
j.
(— )Plot Plan, floor plans and elevation plans (as determined by Community Development Department staff).
Five (5) sets of plans on 8%Z" x 11" sheet or folded down to 8'V2" x I I".
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.
AME OF APPLICANT �7CAC
(Please Print)
GNATURE OF APPLICANT DATE
I
AME OF �ROPERTY OWNER_
(Please Print)
GNATURE OF PROPERTY OWNER(S)
NOT SAME AS APPLICANT:
DATE
(Signature provides consent for applicant to use site for proposed activity).
DATE
(Separate written authority by owner to submit application may be provided) i
OTE: FALSE OR MISLEADING INFORMATION GIVEN IN THIS APPLICATION SHALL BE
GROUNDS FOR DENYING APPLICATION.
I
A 18VNinor Use Permit
0
�y 4
F Z
s '
[DEMAND / CHECK REQUEST
'y OF'MF'
XX Return check to requestor Mail check
Name l Title of person requesting check
Betty Sawyer, Eaec, Sec.
Department individual is associated with:
Check payable to:
Caron Reasor
(Name) (Vendor No.)
74-987 Chateau Circle
(Address)
Amount: $ 75.00
i
Account Number: 101-6000-322-26-00
Indian Wells, CA 92210 Project Number:
Check description and invoice number:
Refund of filing fee for MUP 06-815
APPROVED FOR PAYMENT
(Finance Department Use Only)
BY:
Signature: BY:
G
(Department a ACCOUNT NO.
7-24-06
(Date) DESCRIPTION
'L •/1 • HECK NO.
/
C, ii y o1 c,C a Q.W.
REASOR, CARON 2933
DATE INVOICE ACCOUNT DESCRIPTION
07/24/06 072406 101-6000-322-26.00 REFUND -FILING F
69651
08/08/2006
DOCUMENT HAS A COLORED BACKGROUND. SECURITY FEATURES LISTED ON BACK.
LST 0 4
� �I�UCV
S P.O. BOX 1504
78 495 CALLE TAMPICO
LA AFM of TH��� UINTA, CA 92247
(60)777 7150
PAY *75.00
TO
E CARON REASOR
ORDER
AMOUNT
75.00
75.00
WELLS FARGO BANK 696 51
11-2411210 (81 CHECK NO.
DATE AMOUNT
08/08/2006 $*******75.00
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