SBA 1995-317C�
CITY OF LA . QUINTA
PLANNING & DEVELOPMENT DEPARTMENT
APPLICATION FOR SETBACK ADJUSTMENT
CASE NO: 3 /-7
FEE: „$100.00
.APPLICANT: Submit this form with two copies of a scaled
drawn to adequately depict the nature of the request. A
fee of .$100 is required when the Application is'submitted.
make payable to the "City of La Quinta".
s ^ o
t
MAY 0 4 1995
s to plan, 44
nrefundable L.A/
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 e
APPLICANT/CONTRACTOR:DATE
CONTACT PERSON ( IF . DIFFERENT ) MOCceA y2(-4- ,X PHONE %% f —tSC-o l
MAILING ADDRESS:
ss
OWNER'S NAME: sQi/L& _
MAILING ADDRESS:
City
State) - (Zip)
PHONE %0JV`^'`e_
ss) (City) (State) (Zip
STREET ADDRESS OF
PROPERTY:
LEGAL DESCRIPTION
OF PROPERTY:
LOT #
TRACT 1l�Ce(�\JV1
ASSESSOR'S PARCEL NUMBER: -('79 ` 062=- 00q
ADJUSTMENT REQUESTED: 'J
a
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
v S
C%
OF11��� MEMORANDUM
s�-
CASE: q 5- 3( Locations):
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: �� . &d LcAc-,L wPL1-5
Tly9t1c you f,,o"our cooperation.*
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Att
Departme
c: Building and Safety Department
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