PP 1985-241r ..
CITY OF LA QUINTA
Department of Community Development
78-105 Calls Estado
La Quinta, CA 92253
PLOT PLAN APPLICATION
RE:CF-IVE®
DEC 101985
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPT
Case Ho. PP 85-241
Date Receiv
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 plans is stated on the attached Plot Plan Checklist.
Failure to provide the required information is justification for
refection of the application.
THIS APPLICATION MUST BE ACCOKPANIBD BY A NON- REFUNDABLS,FILING FEE
OF $ 76 , 16 - COPI83 OF A CwLF z AND ACCIIRATE PLOT PLAN
AND - SETS OF ELEPATIONJA
_ FLOOR PLANS.
Name of Applicant Rick Johnson Phone
Mailing Address Zzo
Legal Owner VR,4 � L-C�
Address a , � zZ:� C� �2zaZ
Proposed Use Triplex
Location of Property (Address if known) -��
Assessor's Parcel Number -773-0650-16 / 7 z.✓ - OloS0 -17 - 16
Legal description of property (Give enact legal description as recorded
in the office of the County Recorder) - (May be attached)
Signature of Applicant
Signature of Owner
Date
Date
A3518 12 10