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City of La Quinta
Community Development Department
78-495 Calle Tampico
La Quinta, California 92253
(76p)Y'777-7125 FAX: (760) 777-1233
OFFICE USE ONLY
Case No. �� ' 7 )S Z
Date Recvd. • v
Fee: -1
Related Apps.:
Event of More Than 2,000 People, include Waste Reduction Info
APsON FOR MINOR USE PERMIT APPROVAL
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i
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 ---K 1. n I 1. C_ e�/ 04�4 S ez e—
(Print) (Print) l
MAILING ADDRESS � Bd )C (p3 O Phone No. J
-10-70
CITY, STATE, ZIP: Ln— Qj CETO Q _ q -I Fax No. ,
PROPERTY OWNER (If different)
i� APR 0 7 2006 IJ
MAILING ADDRESS: Phone No.
LA Quin I
CITY, STATE, ZIP: of._.__ Fax No._
PROJECT LOCATION: 4q • 3c) (' o(: r ak I LY1"C'c rl5 3
PROPOSED USE AND/OR CONSTRUCTION (Including operational information):
CQ!5I T a
(attach sheets if needed)
LEGAL DESCRIPTION (LOT & TRACT OR A.P.N.): �pT
A2t65a a R. ac-g-- �.
A18Wlinor Use Permit
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SUBMISSION REQUMWR.
❑ 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'/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 Ll--) LI C
(Please Print)
SIGNATURE OF APPLICANT DATE 7
NAME OF �ROPERTY OWNER
(Please Print)
SIGNATURE OF'PROPERTY OWNER(S)
IF 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)
NOTE: FALSE OR MISLEADING INFORMATION GIVEN IN THIS APPLICATION SHALL BE
GROUNDS FOR DENYING APPLICATION.
A I Minor Use Permit