PP 1987-386CITY OF LA QUINTA 0
RING & DEVELOPMENT DEPARTMENT
78 -105 CALLE ESTADO
A QUINTA, CALIFORNIA 92253
Case No. MPb
Date Received
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 plans and submitted with the application is stated
on the back of this form. 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 $ 7s, °� AND COPIES OF THE COMPLETE AND ACCURATE
PLOT PLAN, LANDSCAPE PLAN AND ELEVATIONS.
----------------------------- �------------------------------------ - - c- -- --
Name of Applicant �,9?lJ K �FtT b / / Ca Phone J ' Lyjs
Mailing Address /0 AX J000 ( 4 Q Lm Cw - 92-tj
Street City Zip Code
Legal Owner LA, am4Aa L4 C
Address la A c i c (omu 4* 4Lu, 4,f cA
Proposed Use �/Ely�e�L�}/Ly C rtL�Tj2L�Gll�r- //lsylC•��(
Location of Property (Address if known) Y ����i 1 5 ��'/S�*�+�✓�•� 2 Sl
Assessor's Parcel Numbe .?Q - (�)"Z. �--
Legal Description of Property (give exact legal description as recorded
in the office of the County Recorder) -- (may be attached)
c'
Signature of Applicant
Signature of Owner
Date
Date
WV OF LA QUINTA
PLAT NG & DEVELOPMENT DEPT.