SBA 1995-328CASE NO: 5 — 32
CITY OF LA QUINTA FEE:
PLANNING & DEVELOPMENT DEPARTMENT
APPLICATION FOR SETBACK ADJUSTMENT
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".
$100.00
e plan,
efundabl/e j99S
c,k must be
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:aSC,o ��,, DATE
CONTACT PERSON (IF DIFFERENT)
MAILING ADDRESS: \5_�� 2% o Avd Z uaG _
(Address) (City
OWNER'S NAME:
MAILING ADDRESS: :� Mr
Address)
STREET . ADDRESS OF PROPERTY:
City
PHONE
L. a CG 9C3
(State) (Zip)
PHONE
State) (Zip
LEGAL DESCRIPTION OF PROPERTY: LOT # TRACT
ASSESSOR'S PARCEL NUMBER:
ADJUSTMENT REQUESTED:
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
MEMORANDUM
CASE. qS--3 Locations) 37 6 ,i£. QLC-1eZ
Request (s) :
R . - 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 pis 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'appr vat of the adjustment. These
cirleums-t,,ances are: •wo^_& .
you foriyour cooperation.
SirA�ly
Departme
Att
c: Building and Safety Department
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Designers 3 Builders tar over 35 years
73-547 Highway 111/Jensen's Shopping Center
Palm Desert. California 92260
619-346-6115
State License 8 C53-238947
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