SBA 1993-20178-106 CAI* ESTADO - LA OUINTA, CALIFOO 92253 - (619) 564-2246
CASE NO: -f 3 - oZ D /
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: e'-FW/DEL ✓mot/ 7-0e6.5 IA16 DATE
CONTACT PERSON (IF DIFFERENT)
MAILING ADDRESS:
P. o, Box
(Address)
4s D LA Q0i &JrA
OWNER'S NAME: STEeU 1JC, �/ S
MAILING ADDRESS:
ress
City
(City
PHONE
CA. 9zZ53
State) (Zip)-
PHONE -5 4- - / 80 o
CA
State)
ru r_,- 3
(Zin)
STREET ADDRESS OF PROPERTY: S4 / 75 ,4 VEIVI DA j �' A b620
LEGAL DESCRIPTION OF PROPERTY: LOT #
'844?C4-- TRACT k k-q CLJr>q
ASSESSOR'S PARCEL NUMBER: 774 - I 'J Z - O / 5
ADJUSTMENT REQUESTED: ,eF 4 ,Z? L/ �U E SET'FSAc Fop- PIC)O L
L AJ E) �= PoJyl 1 To 3 1
REASON FOR REQUEST: -L)U E % SAX A LL L- DT _ - c+ I•'� i 1�A 1'c
0 L- �SF� 14TTAW&-b S eET44
JUSTIFICATION: "No request for a Setback Adjustment hall 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
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