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SBA 1995-281tl bf �3�AZy� s CASE O • � - Z8/ . CITY OF LA QUINTA PLANNING & DEVELOPMENT DEPARTMENT APPLICATION FOR SETBACK ADJUSTMENT 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' C I � pQD6�. APPLICANT/CONTRACTOR: OCR �. �Jll)�!-L�IU,�C9�%Z' DATE CONTACT PERSON ( IF DIFFERENT ) 7sl m SN e LLeu Re,_6.eg! PHONE n U. JAN 0 6 1995 777- 77(0 MAILING ADDRESS: D0.1IR-L UJaL,K -rka is raLty\ De s e (Address) (City) (State) 0{4 1�Otr (Zip) OWNER'S NAME: -K0&aP_ SNeLLgA) Oeeb r2 F �fSSSG. PHONE -77 �-77((,. MAILING ADDRESS: (Address[[) .(City) (State) (zip) STREET ADDRESS OF PROPER TY: T T' (o (/d (�, LA 2-1 ti (, S-t A 1z LEGAL DESCRIPTION OF PROPER ASSESSOR'S PARCEL NUMBER: ADJUSTMENT REQUESTED: 3( REASON FOR REQUEST: 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 e� I, r 0 t �2 • ��j V S w OFTMMEMORANDUM J CASE: — Z81 Locations) y (oqo Requests) : e�;f��c c� S rc 4 r _57 76 2/' 74 ir . S—P/4-- 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: 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: . ram_ f� 5•rne. ,ArLD y - ThankAyou amour cooperation. Sinc ely ity Pevelopm--ent Department At c: Building and Safety Department 41 A'�' ' BY Pb�:INIMG UNISIOW BY DATE �EXHIBIT CASE NO. '+. T1�1 6TR,6fRT LlC. i AowW b"VAT . F&Ajr YAR6 Jam