SBA 1995-293CASE
CITY OF LA QUINTA
PLANNING & DEVELOPMENT DEPARTMENT
APPLICATION FOR SETBACK ADJUSTMENT
NO: t6 4
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
The 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: � l rllq ee F06A DATE c3 r S
CONTACT PERSON ( IF DIFFERENT)
MAILING ADDRESS:
Ak
(Aaaress) (City).OWNER'S NAME:
MAILING ADDRESS:
PHONE �R c - ZS D /
State) - (Zip
PHONE
ss). (City) (State) (Zip
STREET ADDRESS OF PROPERTY: 7C% 'ZQS. rns �rhUr
LEGAL DESCRIPTION OF PROPERTY:
ASSESSOR'S PARCEL NUMBER:
ADJUSTMENT REQUESTED:
.REASON FOR REQUEST:
LOT # TRACT
33
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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: 9S=a�I Locations) Iy Sd
Requests): frar Pto V-,�4 Srf' adiu �MP4-1
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:
Thank you for your cooperation.
Sincerely,.
Community Development Department
Attachments
°Q °O
MAR 07 11101115 D
u
BY
c: Building and Safety Department
7s Coc.f -
G-�c Q v i ✓1 �. C j�
APPROVED.BY PLANNING & DEVELOPMENTJDEPARTMENT
BY 4 DATE ILLS
EXHIBIT
CASE NO.
EXHIBIT
Sg CASE NO.
GENERAL SPECIFIC
SIZE x i AREA
L6 0 DEPTF
SHAPE CuSfinl
PERIN.
TEMPLATE NO.
CUSTC
TILE SIZE
TILE COLOPI
COPING
COPING COLOR
POOL CAPACITY
PUMP CAPACITY
MOTOR H.P.
I
FILTER
in o
FILTER RATE
TURNOVER
VACUUM LINE 3 SKIMMER
RETURN LINE
MAIN LINE
y
SKIIAMER-MODEL
BACKWASH TO
H - OF 1/2" FILL
LINE
ANTI -SYPHON VALVE
Av+v
HEATER
SIZE
GASOLINE BY: (
VENTED
LIGHT Ll otua t
CLOCK
AN
• rit cIyre
ots: -Spas
La Quinta, CAman
6� ' 342-3521
.