SBA 1995-322I
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CASE NO: 7S�
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 is not the owner of the property, a let must be
submitted by the owner authorizing the Applicant to execute his/ d'o ument
in his behalf. /
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PLEASE
PRINT
OR TYPE
APPLICANT/CONTRACTOR: 6& i1 �dS
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DATE
CONTACT PERSON (IF DIFFERENT)
v
PHONE 'fOOC
MAILING ADDRESS: /= /0 Sg
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d a Im
,Se, fi: c� • -2-2
(Address)
(City)
(State) (Zip)
OWNER' S NAME: 14-� h�
PHONE %S 5 0
MAILING ADDRESS:
(Address))
(city)
(State) (Zip)
ADDRESS OF PROPERTY: `
Ff-i�0
TiTREET
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LEGAL DESCRIPTION OF PROPERTY:
LOT #
S S
TRACT �f
ASSESSOR'S PARCEL NUMBER:
ADJUSTMENT REQUESTED:
REASON FOR REQUEST: S-*-r- `(- -}0 3 — _-17e7e-r � ".i � fv, wx; ,v
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: a.�_ Locations) : 48 - 1-7 1 c�sc� 'j�e.,,po LA�4 JE,
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:_A� {v),prA`
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: -� r �, (,o�,� � ,,r �4 c,.,c
TXW-q� yo*--ror your cooperation.
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lopment Department
Attachments
c: Building and Safety Department
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SIGNATURE p�
Skimmer Type
:.aretaker _ Vc
Other Cleaner
Fill Line
P Trap Ba:+
Gas Line
Fountains;Sprayheads_--
Ltphts in Pool
livdrostatic Valve
Stub Set Equipment
Solar Run
Sawcut Au,
Misc
GUNITE
Gunite Inspection Required
Rope Rings _ Gr
Deep End Ramp
6' R.B.B _._ 12 R B.E _
Loveseat Ex�enc
Notch Bond Beam
Cooing ._ ___....__ . tCant
Notched Spa Dam Wall
Spa Dam Wall Width___
OWNER RESPONSIBYLIT
Owner 1 o I t I Determine Vie ii
12i Take notice tha•
ment at time of
(31 Wet down conc
(4) Take NO110E tha
and any Da nag-
t5) See that al, fer
preplaster t ispr-
(6) Fill pool tmened+
171 Take Notice thz
permission Of C
Owner approves Plan. Pod. ar
Stoned
NAME
JOB ADDRESS RANCHO LA O;
PHONE_ _ _ OFFICE
LOT TRACT
MAP BOOK PAGE NO.
MALL ADDRESS
CONSTRUCTION OFFICE PHOP
SCALE . DATE DIAW
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