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SBA 1992-13178-105 G�LE ESTADO — LA QUINTA, CALIF RNIA 92253 - (619) 564-2246 CASE NO: 01 l3 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. ************************************************************************** PLEASE PRINT OR TYPE APPLICANT/CONTRACTOR: Doc/� y�I1 S DATE CONTACT PERSON (IF DIFFERENT) MAILING ADDRESS: OWNER'S NAME: MAILING ADDRESS: PHONE (Address) _ (City) (State) (Zip) STREET ADDRESS OF PROPERTY: LEGAL DESCRIPTION OF PROPERTY: LOT # TRACT 0tJ o'li- ASSESSOR' S PARCEL NUMBER: 7W —163 —156 to 225183 kO 151,1T4-`i00.Op10 ADJUSTMENT REQUESTED: REASON FOR REQUEST: Alo T 4/✓&W e., ` /ZoPM L ************************************************************************** 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 SETBACK AZ- vSTMENT: Five foot setback reduced to three feet (_ear b>< yard) FOR: Swim:.ing Pool CONDITIONS: 1. The applicant shall comply with Mun_::ipal Code Fencing requirements for pools. 2. Ensure pool is reinforced to Building Code requirements. fi 3. This setback 'adjustment does not apply to mechanical pool equipment. 4. The application fees shall be paid prior to. building permit issuance. 5. Pursuant..to GTE rrequirements a three 'irich PVC conduit, schedule 40, or better, shall be placed'withim the rear yard.' 5-foot wide easement area. This would,'facilitate their accessing the area in the future, should the need to replace the facilities arise. This conduit is to be capped off within five feet of fhe side property lines; and should be placed at a minimum depth of thirty inches. APP ED PLANNING DIVISION BY DATES EXHIBIT Sjk�_CA§E NO. �R L[ r t to to