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SBA 1994-27112/01/1994 14:20 6197777155 • CITY OF LA QUINTA PAGE 01 Post -It- brand fax transmittal memo 7671 d of pages ► al- / Tq GC From r-- �e Co. Co. / Dept. phone" / 77— 704? 0 7 3 ,OSFax # 7-2-)-7j APPLICATION FOR SETBACK ADJUSTMENT CASE NO: - 02 171 FEE: $100.00 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 submitted by the in his behalf. is not the owner of owner authorizing the APPLICANT/CONTRACTOR: the property, a letter must be Applicant to execute t4,;4:4c.c—um ent PLEASE PRINT OR TYPE �EnDE�,LY C�fcl�A�iCs CONTACT PERSON (IF DIFFERENT) MAILING ADDRESS: OWNER'S NAME: PHONE / /.J- MAI LING ADDRESS: (Address) (City, (State) (zip) STREET ADDRESS OF PROPERTY: 2 2-a,2,,2 e6u L E1� LEGAL DESCRIPTION OF PROPERTY: LOT # TRACT ASSESSOR'S PARCEL NUMBER: ADJUSTMENT REQUESTED: p ��1%57- /k ee 6t1W11, , N r f" /.41NY 45 REASON FOR REQUEST: DdEA s/,v 1- R. y,,o /A.P NO-�VO 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. MEMORANDUM CASE: W W - a71 Location (s) : Request (s) : /`tC z`9u )/Jm --1-- 1'^ S rcAc Your setback adjustment application is hereby approved, subject to the following conditions: Conditions: 1. Obtain a building permit. from the Building and Safety Department. 2. The other Zoning Code provisions shall be met. 3. If ground excavation is required, please contact Underground Service Alert (USA) at 1-800-422-4133. The service is free of charge provided USA is given at least two working days' notice. 4. Additional Conditions: Se 7jis After review it was determined that: 1.. This adjustment is consistent with the intent and purpose of the .Zoning ordinance. 2. There are. special. circumstances applicable to the property, including such factors as size, shape, topography, location or surroundings that justify approval -of the adjustment. These circumstances are: Thank you for your cooperation. Si ere , C Development Department Attachments c:.Building and Safety Department