PP 1980-5461GIv.wldl I'IIIc" ItIV1 IDE CIIIINI'1 I'LANNINC DEPARTMENT Desert Office
N i n at( h PI II Lulu "li :;t rc,•t. 46 -209 Oasis Street
N,�oI Room 304
R1VCI I Idr, CA 9- 1 PLAN _`1I PL WA'iu
'IN ludio, CA 92201
(7lbj I2S / -bitil
(714) 342 -8277
lip the iutl,Lest of processinh your appli,,atiou it a tiulely manner please complete this form.
failure to pr,vide the rc- quired iniorm..rion 17 justification for rejection of the application.
I'he .lttacllUd plot plan check list must be tolluwed in order for your application to be
..r�epCed. Do not heSitate to contef(t our 011 ii should any questions arise regarding your
application.
Plot Plan 5461
N.uue of Applicant J.L. Johnston
- - - - - -- - - t� - ----- --- -- -- - --- Phone
- -- - - -- - -- �' 1 Z�!
Mail Lng Addr.:ss
Street City 'Lip Code
Legal Owner
Proposed Use Motel
Location of property (Address if known) �_p I - 's��_ti -; _ t2��
Asbessor's Parcel Number 773-075-005
Legal description of property (Give exact legal description as recorded in the office of the
County Recorder) - (May be attached)
i
'PHIS APPLICATION MUST BE ACCOMPANIED BY A NON - REFUNDABLE FILING FEE OF $
COPIES OF A COMPLETE AND ACCURATE PLOT PLAN AND SETS OF ELEVATIONS AND FLOOR PLANS.
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PLANNING DEPARTMENT USE ONLY
Plot Plan Number � L �CC?' Module Number
Supervisorial District - � Zone
District /Area - � r' ._ ,� r General Plan Area i j.-
Geologic Hazard Zone !<� l) ,C l =,'I ,:I :._i1 Land Use Element
Related File t is {'';� �lJ� Open Space /Conservation. - - -
'fransrtittalo sent to: Road
I'
D.�t Cr.ulswi ttal5 sent
Fire
Health
City tt II )
& Return date C-0 �J