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SBA 1992-12678-105 CALLE ESTADO — LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 CASE NO: CITY OF LA-QUINTA FEE: $100.00 PLANNING & DEVELOPMENT DEPARTMENT APPLICATION FOR SETBACK ADJUSTMENT APPLICANT: Submit this form with two copies of a scaled site plan, drawn to adequately depict the nature of the request. A nonrefundable fee of $100 is required when the Application is submitted. Check must be make payable to the "City of La Quinta". 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. 005182 10 1196 07-23-92 14 10 CASH 1 TOTAL i i00.00 ************************************************************************** PLEASE PRINT OR TYPE APPLICANT/CONTRACTOR: �1/A/ �/L A" DATE 7- Z.3—Glz- CONTACT PERSON ( IF DIFFERENT) _/1." eZ PHONEOq MAILING ADDRESS: ((Address) I/ (City) (State) (zip) / OWNER'S NAME: PHONE /, 6 MAILING ADDRESS: 4 3 `6 3 0 W (Address) (City) (State) (Zip) STREET ADDRESS OF PROPERTY: 3-C9 SOU A✓AR-y LEGAL DESCRIPTION OF PROPERTY: LOT # c,2S TRACT A37'23 —1 ASSESSOR'S PARCEL NUMBER: ADJUSTMENT REQUESTED: REASON FOR REQUEST: O A—&-C 4-4ce - ************************************************************************** JUSTIFICATION: No request for a Setback Adjustment shall be granted unless it is determined that it is consistent with the intend and purpose of this Ordinance; that there are special circumstances applicable to the property, including such factors as size, shape, topography, location or surroundings that justify the approval of the adjustment of the setback requirement, and that the adjustment will not be detrimental to the health, safety, and general welfare of the community or be detrimental to property in the area of the parcel for which the adjustment is requested. FORM.013/CS I EXHIBIT CASE N0412— APP D B PLANNING DIVISION BY DATE DATE zaj �IeCAA_ 0 J., DEEP END SHALLOW j EN D SCALE I Ar I IV* .. -PLOT PLAN GENERAL SPECIFICATIONS Size /? x 3 CodeqS-- L130 Shape Depth to to Tile Color (g ia,.,2 Coping 12' Cantilever Pool Capacity Gals. Pump Capacity 72— G.P.M. Fitter a(,l / / C- W t7 Sq. Ft. Pump v ;A- %Lf- H.R Fitter Rate (D G.P.M. Turriciver Hrs. Vacuum Line & Skimmer Retum Line Main Drain Skimmer Backwash to Anti -Syphon %Ww 3 Heater Sin 0 00 0 8,T.U. 0 ID LightL Time Ckick -F/ 0 4 ✓LL Decking a C '3)ejAt_ rp A4,V Board 4,-L- Color Slide � Color J;t:7- 2- Ar '4- L Name �G) k tJ t- i iv City LIA_ UV14,— Cross Street kk4v-, Phone 3 V-!;-- 143 Date 7-t6-c/LDrawn ty Ag IL PMSI SMCE 1974 PO. BOX 835 PALM DESERT. CA 92261 R40NE " 5694014 SM UCENM C-53,=252