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SBA 1995-370CASE NO: _ 37 0 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. 11PLEASE PRINT OR TYPE APPLICANT/ CONTRACTOR: l�J� 5 t�r� POD16 DATE CONTACT PERSON (IF DIFFERENT) MAILING ADDRESS: y3 375 /1��//SOIL/ �.11o(i.0 (Address) (City) OWNER'S NAME: boon t e-I PHONE 3 y7 :s?57 State) PHONE f2 Zip) MAILING ADDRESS: ' (Address) (City) (State) (Zip) STREET ADDRESS OF PROPERTY: LEGAL DESCRIPTION OF PROPERTY: ASSESSOR'S PARCEL NUMBER: LOT # TRACT ADJUSTMENT REQUESTED: REASON FOR REQUEST: 501, VE C 1 8 1995 _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: -- 370 Location(s) : �1-- S75 Request(s): ,N..w L a I LI MT. 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: Thank -you for your cooperation. Attachments c: Building and Safety Department .84 a $-A f— d«f 3 adee� 6 dPe� 11� —T— jam-- Pool 1�uf f �uk+P /00 sQ, ®�Q� s S O western wools CUSTOM POOL/SPA BUILDER SERVING THE DESERT AREA FOR 15 YEARS ROCKSCAPE SPECIALIST 347-5959 P.O. BOX 1047 - INDIO LIC. #348768