MA 2005-551AY 01WA Q UIl V TA • qFee:$200
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unity Development Department P�-
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APPLICATION FOR MINOR ADJUSTMENT
this form with two copies of a scaled site plan, drawn to adequately depict the nature of the request.
A onrefun a fee of $200 is required when the Application is submitted. The check must be made payable to the "City
Of L to". A Minor Adjustment Permit (Section 9.210.040/Zoning Ordinance) may be approved only for deviations
of up to ten percent of a numerical development standard (for example, a reduction of one foot from a ten -foot setback
requirement) or for deviations specifically identified in the La Quinta Zoning Ordinance. Other deviations shall require
consideration of a variance (pursuant to Section 9.210.030Nariance\Zoning Ordinance). If the Applicant is not the owner
of the property, a letter must be submitted by the owner authorizing the Applicant to execute this document in his behalf.
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FWAKI PLEASE PRINT OR TYPE
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APPLIC%"IR: -3"M R"EDATE: 0 j 2 �/s
CONTACT PERSON (IF DIFFERENT): PHONE: (— 14 T
MAILING ADDRESS:_ 78 ('50 CAUL TA1-kP(C _,,u C_Q , CA7 67 Z2- S3
(Address) (City) (State) (Zip)
OWNEWSNAME:_ KSE4 S Il/0FF- P*QV)� L LL G
MAILINGADDRESS: SA IAVPz
(Address) (City) (State) (Zip)
STREET ADDRESS OF PROPERTY: "V^]O
LEGAL DESCRIPTION OF PROPERTY: LOT # Lo ' TRACT
ASSESSOR'S PARCEL NUMBER: 162�'?j�( i) 4 ��
ADJUSTMENT REQUESTED: S f > b �, C',- f�,� 47�D_ 66,� ( (& CgL ,
Pbn- e
REASON FOR REQUEST: 4t-1 PL -- ( S 0 ADZ_ 00 is S WW GM N
SIGNATURE OF
SIGNATURE OF OWNER (if not t1h lame as applicant)
DATE
PLANNER: -liwia _7 ( _ ^ e-
The following findings shall be made by the decision -making authority prior to the approval of any Minor Adjustment
Permit:
1. Consistency with General Plan. The project is consistent with the General Plan.
2. Consistency with Zoning Code. The project is consistent with the provisions of the Zoning Code.
3. Compliance with CEQA. Processing and approval of the permit application are in compliance with the requirements
of the California Environmental Quality Act.
4. Surrounding Uses. Approval of the application will not create conditions materially detrimental to the public health,
safety and general welfare or injurious to or incompatible with other properties or land uses in the vicinity.
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NAME OF APPLICANT 0 A/A)
(Please Print)
SIGNATURE OF APPLICANT DATE 3 'L a5�
NAME OF PROPERTY OWNER 11J E (S Ko Pr- /PAPTA) L—KS 1 L' L C
(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 writtdn authority by owner to submit application may be provided)
NOTE: FALSE OR MISLEADING INFORMATION GIVEN IN THIS APPLICATION SHALL BE
GROUNDS FOR DENYING APPLICATION. ;
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