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SBA 1995-307• CASE NO: 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 submitted by the in his behalf. is not the, owner of the property owner authorizing the Applicant to ��• PLEASE PRINT OR TYPE APPLICANT/CONTRACTOR: CALF cop_00\ ��pLS 4- AS CONTACT PERSON (IF DIFFERENT) ! D MAILING ADDRESS: q 10 —t-�AgDb ALK, i (Address) (City) OWNER'S NAMENN: DO I MAILING ADDRESS: % 2 5 LOM A V'STAk, (Address) City) STREET ADDRESS OF PROPERTY: State PHONE ter must be t'his document Zip). (State), (Zip LEGAL DESCRIPTION OF PROPERTY: LOT # TRACT ASSESSOR'S PARCEL NUMBER: ADJUSTMENT REQUESTED: ! SpA , + F-ou�i ,1a) F om-c Se'l- REASON FOR REQUEST: _JJQ CMA6L ApPLCtARLt1_7- C 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 0 4 ,�.Qulkta MEMORANDUM t CASE: 95 - 30'( Location (s) : 7ri- a`i S L6ti 0qr Request (s) 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: RALI�.7i. )Ea, — Thac;ely'rou r your.cooperation. Si /w-17 s t Development Depart Attachments c: Building and Safety Department M Faso �K?,J�am UMU W5 *:gill b. RWIV ow �K?,J�am UMU W5 *:gill b. RWIV ow