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SBA 1995-356CASE 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 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 /P`RINT OR TY E APPLICANT/CONTRACTOR: �Iaihp, �rli'�Pc ��v/�i DATE CONTACT PERSON (IF��IFFERENT.) MAILING ADDRESS: l j Pox OWNER'S NAME: MAILING ADDRESS: 2-75a • Bw van (Address) ' STREET ADDRESS OF PROPERTY: /j`• ty PHONE i1li 9.5- _ PHONE /) 7-� 20 7/ 54ff�a R0j -q (State) (zip) 95Q3 LEGAL DESCRIPTION OF PROPERTY: LOT # '114 TRACT ASSESSOR'S PARCEL NUMBER: ADJUSTMENT REQUESTED: Jell REASON FOR REQUEST: 8k JUSTIFICATION: No request for a Setback Adjustment sha 1 be granted unless it is determined that it is consistent with the int nd and purpose of this Ordinance; that there are special circumstances app icable to the property, including such factors as size, shape, topograph 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: 35-6 Location (a) Request s ) : A-1-r— 1A -7 UNr 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: ,,�ru- Thar you or our cooperation. opment At c:"Building and Safety Department