PP 1984-100'9EG.21
CITY OF LA QUINTA
Department of Community Development
78-105 Calls Estado
La Quints, CA 92253
PLOT PLAN APPLICATION
Case Ho. 84-100
Date Received 12/21/84
In order to process your application in a timely manner, please
complete and sign this form. The information which is required to be
shown on the plane is stated on the attached Plot Plan Checklist.
Failure to provide the required information in justification for
rejection of the application.
THIS APPLICATION MOST RE ACCOMPANIED Br A NON - REFUNDABLE FILING FEE
OF $ /7 6. 0 0 , 5'x A.) COPIES OF A COMPLETE AND ACCURATE PLOT PLAN
AND Six (G ) SETS OF ELEPATIONS AND FLOOR PLANS.
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Name of Applicant Noel Jensen Phone 714 -980 -2991
Mailing Address P.O. Box 305
Legal Owner
Noel & Elaine Jensen
Address 9144 Brilliant Lane Alta Loma, CA 91701
Proposed Use
Res.
Location of Property (Address if known) 52 -470 Avenida Madero
Assessor's Parcel Humber 773- 244-001
Legal description of property (Give exact legal description as recorded
in the office of the County Recorder) - (May be attached)
On plans
Signature of Applic
Signature of Owner
Date 12 -21 -84
Date 12 -21 -84