SBA 1994-277•
CITY OF
PLANNING & DEVE
APPLICATION FOR
"a CASE NO: /
Q6 §k Z 030. �, 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 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: `j ti0 s v' DATE 9y
CONTACT PERSON (.IF DIFFERENT) ��n /3 C 1 7 PHONE
MAILING ADDRESS: 7C A n rA C/X) S;
(Address)
(City)
(State) (zip)
OWNER'S NAME:
(/e
PHONE
MAILING ADDRESS:
o�& t
(Address)
(City)
(State)
STREET ADDRESS OF
PROPERTY:
O
LEGAL DESCRIPTION.OF
PROPERTY:
LOT #
TRAC.T � C�
ASSESSOR'S PARCEL
NUMBER:
ADJUSTMENT REQUESTED: /%'/d
Nam_
REASON FOR REQUEST: _
/ 142
At,,/A— 1—fc h�
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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
MEMORANDUM
CASE: Location (s) :
Requests): �aol �9vi�f`1 i,"
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 dayst
notice.
4. Additional Conditions:
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: 0#/, 1A-7- 1s %u, c,011-4 Gies Xoner
Thank you for your cooperation.°'
Si el
Vv
C Development Department
Attachments
c: Building and Safety Department
f�
:i N
to
APPR Y PLANNING & DEVELOPMENT ®EPA ENT
BY nA.TF
EX1?MIT
CASE NO a��®