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SBA 1996-382CASE NO: CITY OF LA QUINTA FEE: $100.00 PLANNING & DEVELOPMENT DEPARTMENT APPLICATION FOR SETBACK ADJUSTMENT APPLICANT: Submit this form with two copies of a scale 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". If the Applicant submitted by the in his behalf. is not the owner of the property, owner authorizing the Applicant to e: PLEASE PRINT OR TYPE �-7� APPLICANT/CONTRACTOR: ,*404 CONTACT PERSON ( IF DIFFERENT) VY �A (�h1 MAILING ADDRESS: �S3-0 2C7 � 6 �CIM�I� 0-4 (Address) (City) OWNER'S NAME: 2 � 0/o L MAILING ADDRESS: SO'�55 S (Address) d site plan, nonrefundable Check must be a letter must be (State) (Zip) PHONE /—Q, City)* (State (Zip) STREET ADDRESS OF PROPERTY': 50 ��� SPi� ,CoLL✓-(SS LEGAL DESCRIPTION OF PROPERTY: LOT # 7 TRACT as3scl�'� ASSESSOR'S PARCEL NUMBER: ADJUSTMENT REQUESTED: 5w1AA K (a-)G Pa o L SST 15 PRoPt--:72( Y 7y 3' REASON FOR REQUEST: ( R(S Z5 64 "64aot c) Lo l -rh A- - 8acg up 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 �� Sly P L•�� ; POOL AREA SCALE 1/8' 1' PLOT PLAN -NO -SCALE POOL SIZE !J(jS� DEPTH 36TO - PER Wol SO. FT. " TEMPL. NO. _(a FILTER NO. NOTE; SHAPE _PC & NO. RETURN UNN ES' 'j R% Le..- to l RD -,� pA- ACCESS _4,(�,_ FT. FENCE t5Ze -) ) k'D &x MOTOR $L4,y PUi hP I& HP a J LIGHT ANTISYPH(IN YES A:9771) APj Alf =;Z�FT. BONDING YES %DV= b1DS9_TCI TtVj'D COPINGNO. T� A... ME2?s �j�2d:-L ,S��fIC�E f�lU r2AJ.4,9R., OAJ sA.,.n _ DATE PALM ENTERPRISE POOL/SPA CONSTRUCTION COMPANY 619-325-2187 CITY LIC. NO. CONTRACTOR NO. C53-591925 SAL _3/ l- r r . ❑ INCLUDED SHALLOW END ..... ❑ LADDER ...... ❑ DEEP END DIG ...... ❑ SLIDE ....... ❑ P-TRAP .......... ❑ LIGHT IN SPA ... ❑ BACKWASH LINE .... ❑ SPA ........ ❑ FILL LINE ......... ❑ CHLORINATOR GRADING ......... ❑ ROPE RINGS ... ❑ HEATER ......... ❑ MAINT. Krr ...... ❑ GUNITE INSP ....... ❑ TREES , , , , , , , ❑ BOARD ........... O OTHER ........ O LOT �/� OWNER ryi2/Yl.es TRACT �(t:W S JOB ADDRESS CITY�MAP NO: SALESMAN J /C► PLAN NO.?�, 4:Z> IOB PHONE BUS. PHONE JOB NO. �3