PP 1995-566CITY OF LA QDINTA
PLANNING & DEVELOPMENT DEPARTMENT
78 -495 CALLE TAMPICO
LA QUINTA, CA 92253
FP
Case No.:: �S �JUrr.p
Date received: q - $ �(S
RESIDENTIAL AND COMMERCIAL PLOT PLAN APPLICATION
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 and submitted with the application
is stated on the attached information sheet. Failure to provide the required information is
justification for rejection of the application.
THIS APPLICATION MUST BE ACCOMPANIED BY A NON - REFUNDABLE FILING FEE OF S * - 79
AND COPIES OF THE COMPLETE AND ACCURATE PLOT PLAN, LANDSCAPE PLAN AND ELEVATIONS.
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Name of Applicant: tAK� Im khol) ' Phone: 6l ( v 44
Mailing Address:
Legal Ow
Address:
Proposed Use:
The net and gross
square footage for each proposed use and building:
y ' The square footage allocated for sidewalks /walkways, parking, landscaping, and building:_
Location of Property (Address if known):
Assessor's Parcel Number:
Legal Description of Property (give exact legal description as recorded
County Recorder) - (may be attached):
Signature of Applicant:
�! Signature of Owner: