PP 1987-382J
CITY OF LA QUIRTA
Department of Community Development
78-105 Calls Estado
La Quinta, CA 92253
PLAT PLAN APPLICATION
Case No. X7-3t
Date Received 4C - -
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
rejection of the application.
THIS APPLICATION MUST BE ACCOMPANIED BY A NON- REFQNDABLS FILING FEE
OF $ ( ,o COPIES OF A COMPLETE AND ACCURATE PIAT PLAN
AND SETS OF ELEVATIONS AND FLOOR PLANS.
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Name of Applicant z4*4y'# /� . �i4SSELL Phone 6 4 - 78y
Mailing Address . 244r . E1 )27.72> _ f'.9
Legal Owner , ,* CC /.t/ Tj¢ 00a, .cr <
Address 777 ,E 404 A,0 Af Z5 S_
Proposed Use o6 oa
zez
-A4 r ,vrs 4
Location of Property (Address if known) SoAtz -be v.t's r L_O. o.
�„ &A Ji dM S 444 wwo 1i19os r e o ioyd
Assessor's Parcel Number 4,V,0 G /7 D 8'D- d O 9
Legal description of property (Give exact legal description as recorded
in the of the County Recorder) - (May be attached)
V Tr,6 CAE' /1
Signature of Applicant iDate �N- C6i$s -s7s� aaia
Signature of Owner Drate G -18'- $
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