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SBA 1995-353CASE NO: n z5 g CITY OF LA QUINTA FEE: $100.00 PLANNING & DEVELOPMENT DEPARTMENT J�plaffiI95 � Of TtAPPLI CATION FOR SETBACK ADJUSTMENT F?nnAPPLICANT: Submit this form with two copies of a scaledsXedrawn to adequately depict the nature of the request. A nrefee of $100 is required when the Application is submitted. eck make payable to the City of La Quinta . -- If the Applicant is not the owner of the property, a letter m d st be submitted by the owner authorizing the Applicant to execute this cument in his behalf. ************************************************************************** PLEASE PRINT OR TYPE APPLICANT/CONTRACTOR: n% 0-S-ri 74 v� �od S S`-1 S DATE -� CONTACT PERSON ( I F DIFFERENT) In Ae PHONE r3 MAILING ADDRESS': �/! a . at, Y r7a / /. CL4- cl.9j S_� (Address) n (City) (State) (Zip) OWNER'S NAME: 0-in i� �t�z'( ' D PHONE MAILING ADDRESS: 9 0 " yy S xdJ 0A-0/j Skwai�$ (Address) (City) (State) /(Zip) STREET ADDRESS OF PROPERTY: So S CI /'/I/diQ4 SyfLryGt/LS�i� LEGAL DESCRIPTION OF PROPERTY: ASSESSOR'S PARCEL NUMBER: LOT # TRACT ADJUSTMENT REQUESTED: 5- f 7� -3- ( (�Z..2,.V- 6c,1 REASON FOR REQUEST: S3t %stet � /`J�il �� V S �rn, C�/% t�`0 p % 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 qe d-Y 4 4-4. ' 0 MEMORANDUM CASE: �`i5^5�- Location(s) :o Request (s) 4L-� 2c 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: IYfe�,,Lv. K-ems-, cAa. & ,PA- . 1� At fqr your cooperation. is c: Building and Safety Department