0252 (2)cT vim^ , '' • , . +' [ ".f� � r
NOTE: ITFS. My BUSINESS
N With prope/r�a�alidation 9 L �� ^• }
this fomstonstitutesan CITY OF LA OUINTA f
eneroadtment permit `
APPLICATION FOR PERMIT 9
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT) �c^ ►—
/ For the construction of public or private curbs, driveways, pavements sidewalks parking lots sewers west
—ter
•
It '
mains
and other like public works improvements in connection with MINOR. IMPROVEMENTS and APPROVED SUBDIVISIONS 1
P�e2avn=y 20, 1987 Subdivision Improvement Permit —Class 111
DATE: Minor Improvement Permit Class IV
"'.'LOCATION OF CONSTRUCTION. nate Palter Dr. S/0 Fled Wtsrim Dr.
(stmt NMre0 or Description of L.00tlon)
PURPOS F CONSTRUCTION D.G. faCiLitias Sketch (atuch corotrvction plans if appropriate)
DESCRIPTION OF CONSTRUCTIQ N '
mwtiolas atld.`associa is dted See attaglans
- Tate . attadisd 'dee<teral "'Spews,
DIMENSION 4 INSTALLATION OR REMOVAL e 00'_' : Pivriai a are attac�bed find •mode
h . a Put a.
SIZE OF EXCAVATION; IF NEEDED ase attaC�IW Owl;
-_ �-' '-•,.^+ieatL�:fit.:�..:: • .
APPROXIMATE TIME WHEN WORK WILL BEGIN
:w APPROXIMATE TIME OF COMPLETION
ESTIMATED CONSTRUCTION COSTS
(Induding removal of all obstruction, materials, and debris, backfilling, eom• ;S- :, - + - - +tii•-^.
-paction and ptidng permanent nws tieing and/or replacing improvements)
In consideration; of the granting of this permit, the applicant hereby agrees to:
IndamnIfy.•deMd and carve the Chv. ke authorised aeems, offiwn' repnwntrthrN incl wnployees, tnaerrnle0 frau and viashu •any on* all ..
4pOnaltia, liabilities Or 100 resulting from claims or court action and arbkg out o/ arty aceidem, loo wrnt
depe to -persons or Property
b ..
Mppanirg a-'oorarrring es a proafmau rush of any work urdertan under the permit Granted puniont eo thb applhation.
r Natlty the Adrninbtretive.AuthadtY at seen twenty-four (24) hours In advance of the time when work will be carted_ '
COmPIy with all appliable City Ordinances. the arms and conditions of Ow Permit and all applicable ruin and regtnlaticrr of ttre Ch .•
r La Oulma sndee
to Pry tar ry add�rWlmement neeemry n the result of this work. . y of
t
Signature of Applicant or Agent
' Gene -el Telenhow Of CIS 93-793 Dr. Carreon Blvd.,. India, CA 92201 342-0535
'Name of Applicant (Please print) Business,Addrass Telephone No.
i
Name of Contractor and Job Foreman Business Address Telephone No.
Contractors License No. , City Business License No.
i. -
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit —Class III
Private improvements: 3%of estimated construction costs
+ Minor Improvement Permit — Class IV: See amched schedule
,Inspection Fes _ - tt/a
Permit Fee
f Penalty
Cash Deposit -Surety Bond
N required
TOTAL: i
' Receipt No. A
Received by p
ata
Recorded by
N° .. 25$
PERMIT VALIDATION'
-- • a '
" PERMIT.NO. 252
i
DATE APPROVED 2-20-97
EXPIRATION DATE 7-3D-87
DATE ISSUED
By
Administrable Authority
TELEPHONE: (619) 564.2246
s ties to these monuments shall be furnished to the Ci Engineer M g Wiortotherenavatofanymonuments.ThuoHiusnall
be notified upon completion of reptacement of all surveymonuments for proper Project clearance.
RD -31
ose ions
NORM WHALIN VAIMM
I FOre
79 80X 845 ---_ Cable and
BANNINaN�OConduit
LN. Coi
__�v LIC: NO 377524,
ENCRO'ACHMENT"PERMITS
NON-NEGOTIABLE ORDER
MARCHER T0: ( VOUCHER NO. 7 O'as.
P.O.DRAWER 1360 � . � `,� (` (� j� j j� n �s.s �� _
SAN BERNARDINO, it s(u It nmv �� u 1 \� IIA NI& N's 1Z +
CA 92402 •
construction funds disbursements
j
THIS VOUCHER WILL NOT BE ACCEPTED UNLESS COMPLETED IN INK OR BY TYPEWRITER.
OFFICE LOCATION: 11.
670 N. ARROWHEAD AVE. INVOICES AND LABOR/MATERIAL RELEASES
NNARDINO,
CA9240 MUST ACCOMPANY THIS VOUCHER
(714) 885-6531
PROJECT DESCRIPTION: E E4' 1 1 -145 4* EFS USE ONLY
E 8 LAURIE S. ❑ PROFIT /OVERHEAD
16,
1 LK
V iSI UL
CvtiSTRUC TI ON
Pay to O and/or
Address
0
The Amount of
Break Down Item No.
City
.O
State
0 t
L
❑ WORK NOT DONE—RETURN
❑ MATERIALS NOT ON JOB
❑ HOLD
❑ INSUFFICIENT MATERIAL RELEASE
❑ INSUFFICIENT LABOR RELEASE
❑ INSUFFICIENT.INVOICE
Zip
JOHNSON CONST., INC.
— VI
SUBCONTRACTOR
By DATE
SUBCONTRACTOR
By
�- -. DATE
MATERIAL SUPPLY COMPANY
By
DATE
,O�
B Down Item NSUBo.
TRACT Q PREVIOUS
A MIENS
AMOUNT
PAYMENT W O FINISH t�
For the purpose ofInducingEscrow Funding Service (herein "EFS) to ma& payment in the
All statements herein are true and made for the purpose of obtaining funds from EFS which are
manner, amount and to the partiesitereinafter set forth, each of the undersigned hereby severally
due to the undersigned and account on account of labor and/or material furnished to the Project.
represents, warrants and agrees with reference to all labor and material furnished by or at the
"Project")
EFS reserves the right to make payments to the contractors, sub -contractors, laborers, materialmen,
request of each to the properly hereinafter described (herein the on or prior to the date o/
or persons furnishing services, supplies or materials, including the right to name joint payees.
execution o/ this order that:
Upon issuance of a check by EFS in the amount and payable to the parties designated below,
In addition to each of the above'provisions and as an added inducement to EFS to make payment
in the manner, amount and to the parties hereinafter set forth, each of the undersigned represents,
each of the undersigned acknowledges receipt of payment in full.
warrants and agrees that any claim against any.construction funds made by any of the undersigned,
Each of the undersigned has paid all laborers who performed any labor on or with reference to
whether by stop notice, claim of equitable lien or otherwise, for labor and/or material hereafter
the Project in full, including all fringe benefits, and has paid to the appropriate labor organizations
furnished, shall be subordinate to the right of EFS to use said construction funds to pay for the cost
and government authorities all sums withheld, or required to be withheld, or required to be paid in
of labor and/material used in connection with the completion of the Project under construction in
connection with such payments to or labor performed by such laborers.
the event of the failure of Contractor or Owner -Builder to complete the same in accordance with the
Each of the undersigned has paid in full for all material utilized in the construction of the Project
provisions of the Construction Contract or Construction Loan Agreement; provided that this
or delivered to the Project and has obtained from all suppliers of such material receipts and lien
agreement shall in no way affect the right of the undersigned to assert any claim by way of
mechaniczi' iien for labor or material furnished the date
releases for all such material so utilized or delivered. Each payment to each such supplier or
after of execution of this order.
material contained or was accompanied by specific instructions to apply such payment for material
IMPORTANT NOTICE
furnished specifically for the Project and none other.
The Penal Code of the State of California provides:
Each of the undersigned relinquishes and waives:
"ANY PERSON WHO SUBMITS A FALSE VOUCHER TO OBTAIN CONSTRUCTION LOAN FUNDS
Any and all right to file any lien against the Project or any portion thereof;
AND DOES NOT USE THE FUNDS FOR THE PURPOSE FOR WHICH THE CLAIM WAS SUBMITTED IS
GUILTY OF EMBEZZLEMENT" (P.C. §484c.)
and any right to file a notice to withhold with either or both of the Owner of the Project or EFS;
"ANY PERSON WHO RECEIVES MONEY FOR THE PURPOSE OF OBTAINING OR PAYING FOR
and all other claims whether at law or inequity against either or both of the Owner or the Project
SERVICES, LABOR MATERIALS OR EOUIPMENT AND WILLFULLY FAILS TO APPLY SUCH
MONEY FOR SUCH OURPOSE BY EITHER WILLFULLY FAILING TO COMPLETE THE IMPROVEMENTS
or EFS.
FOR WHICH FUNDS WERE PROVIDED OR WILLFULLY FAILING TO PAY FOR SERVICES, LABOR
The contract under which the undersigned makes this request is in full force and effect, and
MATERIALS OR EQUIPMENT PROVIDED INCIDENT TO SUCH CONSTRUCTION, AND WRONGFULLY
DIVERTS THE FUNDS TO A USE OTHER THAN FOR WHICH THE FUNDS WERE RECEIVED SHALL
there has been no default by either the undersigned or the Owner or Contractor.
BE GUILTY OF A PUBLIC OFFENSE AND PUNISHIBLE BY A FINE NOT EXCEEDING FIVE
THOUSAND DOLLARS ($5 000), OR BY IMPRISONMENT IN THE STATE PRISON NOT EXCEEDING
ONE YEAR, OR BY BOH $UCH FINE AND SUCH IMPRISONMENT...." (P.C. §484b.)
JOHNSON CONST., INC.
— VI
SUBCONTRACTOR
By DATE
SUBCONTRACTOR
By
�- -. DATE
MATERIAL SUPPLY COMPANY
By
DATE
MANON-NEGOTIABLE ORDER VOUCHER No -70852
IL V�O►UCHER T0: (� {�
PSAKWER 1350
BERNARD NO, � s(icei onv it U1\�I IN6 SURVICIr-
CA 92402
construction funds disbursements
THIS VOUCHER WILL NOT BE ACCEPTED UNLESS COMPLETED IN INK OR BY TYPEWRITER.
OFFICE LOCATION:
670 N. ARROWHEAD AVE. INVOICES AND LABOR/MATERIAL RELEASES
NNARDINO,
CA9240 MUST ACCOMPANY THIS VOUCHER
(714) 885-6531
PROJECT DESCRIPTION: L I S ii 1 I -14 5 5* EFS USE ONLY
r h LAURIE S. ❑ PROFIT/OVERHEAD
L; ..,19 U I NTA
305
VL RSI 0-
h I CK J 0^ p�S!_)N C ONS TRUC T I ON
0
Pay to 0 and/or
Address
�\ G
The Amount ofy
Break Down Item No. _
n
❑ WORK. NOT DONE -RETURN.
❑ MATERIALS NOT ON JOB
❑ HOLD
❑ INSUFFICIENT MATERIAL RELEASE
NO INSUFFICIENT LABOR RELEASE
❑ INSUFFICIENT INVOICE
State Zip
-k�aL4n -�
B Down Item No.
S6 NTRACT PREVIOUS THIS QQ BALANCE
AMOUNT PAYMENTS $ PAYMENT $l�q TO FINISH
For the purpose of inducing Escrow Funding Service (herein "EFS) to mak@,payment in the All statements herein are true and made for the purpose of obtaining funds from EFS which are
manner, amount and to the parties-h6relnafter set forth, each of the undersigned hereby severally . due to the undersigned and account on account of labor and/or material furnished to the Project.
represents, warrants and agrees with reference to all labor and materialfurnished by or at the
request of each to the property hereinafter described (herein the "Project") on or prior to the date of
i execution of this order that:
Upon issuance of a check by EFS In the amount and payable to the parties designated below,
each of the undersigned acknowledges receipt of payment in full.
Each of the undersigned has paid all laborers who performed any labor on or with reference to
the Project in full, including all fringe benefits, and has paid to the appropriate labor organizations
and government authorities all sums withheld, or required to be withheld, or required to be paid in
connection with such payments to or labor performed by such laborers.
Each of the undersigned has paid in full for all material utilized in the construction of the Project
or delivered to the Project and has obtained from all suppliers of such material receipts and lien
releases for all such material so utilized or delivered. Each payment to each such supplier or
material contained or was accompanied by specific Instructions to apply such payment for material
furnished specifically for the Project and none other.
Each of the undersigned relinquishes and waives:
Any and all right to file any lien against the Project or any portion thereof;
and any right to file a notice to withhold with either or both of the Owner of the Project or EFS;
and all other claims whether at law or In equity against either or both of the Owner or the Project
or EFS.
The contract under which the undersigned makes this request is in full force and effect, and
there has been no default by either the undersigned or the Owner or Contractor.
K JOHNSON CONST., INC.
X I—
TE
SUBCONTRACTOR
By DATE
EFS reserves the right to make payments to the contractors, subcontractors, laborers, materialmen,
or persons furnishing services, supplies or materials, including the right to name joint payees.
In addition to each of the above provisions and as an added inducement to EFS to make payment
in the manner, amount and to the parties hereinafter set forth, each of the undersigned represents,
warrants and agrees that any claim against any construction funds made by any of the undersigned,
whether by.stop notice, claim of equitable lien or otherwise, for labor and/or material hereafter
furnished, shall be subordinate to the right of EFS to use said construction funds to pay for the cost
of labor and/material used in connection with the completion of the Project under construction in
the event of the failure of Contractor or Owner -Builder to complete the same in accordance with the
provisions of the Construction Contract or Construction Loan Agreement; provided that this
agreement shall in no way affect the right of the undersigned to assert any claim by way of
mechanics' lien for labor or material furnished after the date of ezecution.of !his order.
IMPORTANT NOTICE
The Penal Code of the State of Californla provides:
"ANY PERSON WHO SUBMITSA FALSE VOUCHER TO OBTAIN CONSTRUCTION LOAN FUNDS
AND DOES NOT USE THE FUNDS FOR THE PURPOSE FOR WHICH THE CLAIM WAS SUBMITTED IS
GUILTY OF EMBEZZLEMENT" (P.C. § 484c.)
"ANY PERSON WHO RECEIVES MONEY FOR THE PURPOSE OF OBTAINING OR PAYING FOR
SERVICES, LABOR ,t MATERIALS .OR EOUIPMENT AND WILLFULLY FAILS TO APPLY SUCH
MONEY FOR SUCH PURPOSE BY EITHER WILLFULLY FAILING TO COMPLETE THE IMPROVEMENTS
FOR WHICH FUNDS WERE PROVIDED OR WILLFULLY FAILING TO PAY FOR SERVICES, LABOR
MATERIALS OR EQUIPMENT PROVIDED INCIDENT TO SUCH CONSTRUCTION AND WRONGFULLY
DIVERTS THE FUNDS TO A USE OTHER THAN FOR WHICH THE FUNDS WERI_ RECEIVED -SHALL
BE GUILTY OF A PUBLIC OFFENSE AND PUNISHIBLE BY A FINE NOT EXCEEDING FIVE
THOUSAND DOLLARS S5 000 , OR BY IMPRISONMENT IN THE STATE PRISON NOT EXCEEDING
ONE YEAR, OR BY BOT S`UCFINE AND SUCH IMPRISONMENT...." (P.C. §484b.)
SUBCONTRACTOR
By
DATE
MATERIAL SUPPLY COMPANY --
By
l9
4
78-105' CALLE ESTADO - LA' OUINTA, CALIFORNIA 92253 (619) 564-2246
SUB -CONTRACTOR CONST. DEPOSIT '
` -
Date: y �/
i Project Description: j7 D Aa j::� <
W.
t
TYPE OF -CONST. (Grading, Street, Etc .
Contractor: o N C, o
• Name Phone No. ,
Address
Engineer:
Name Phone No.
Address
Deposit Atmunt $ -2 4// o, o. Received Bv:
~UCTION CO. .8ECURITY PACIFIC NATIONAL BANKS12 ? 2
JONES BROTHERS CONSTRK�
2 •"
Indlo Office MIS ' -
'
O. BOX 905 . 347-2291 P. 81-710 M 9nwey 1n
Indio. CA 82201 •y 'A, y."-'
COACHELLA,-CA 92236
:. 18x1/1220
_ —
v 2-9 19 88
R!egui#bf ,410d61,.0a:�It� DOLLARS $ 2.410:00
"PAY """"""'""" "" "M""" I
.AMOUNT
D -
1 ATE
w _ , . Ins ion' De s
To Cit t
T of La Quinta
Y
2 40 0
.,THE
_ — 0
)RDER 1 ee 1
may' Cf
ON E A OVNTB O N BOVe:
t R•+ 2 20000431:3 iEll .14 266911' ..
�
|
ELYEAGERCONSTRUCTION
|
CITY OF LA QUINTA ~^
l '
DESCRIPTION,~ |
1
�
|�
1�-O3l0- � �
| o
005182 iO 8866 O2 -i8-88 i3 [
^IInspection��`~^�' fees
/u
}m
'
PERMIT% i 2400.00
0013200032025 �
iO CA%H i TOTAL i 2400.00
�
/o
i AMOUNT TENDERED 24OO.00 �
CHANGE ^OO �
�
-- �
-
.
`
y
THANK YOU
'^
�
'
- - - — -- -- ---
, _--
Owner: 10o 13?-A7� G.' z y -,-'Z—
Name Phone No.
Address
Engineer:
Name
Phone No.
Address
Deposit T m $ -c .Received . Bv: w 7C a
G
v
- -
1
•
G G GG .
+,
tT_
r0 M M
..
�.
m
GAJ= i8'' in 6 {: � '-22-C?_
TOTAL , ice. r...
f
G
IT 4a co
{ C)
rJ"
C•a
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.
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G
G i-- Cts '• -r
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Ps!�
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LL -a
"MAILING
.ADDRESS
P.O. BOX` 1504 LA QUINTA, CALIFORNIA 92253
0F fF���S 78-105 CALLE ESTADO ,. LA QUINTA,CALIFORNIA 92253 - (619) 564.2246
E .INEF'.R NG
Y PLAr1 CHEC.,K DEP -O-SIT,
,w
Date: 6
Project Description: l% L A ov e:: A "OF el/1
Type of - Submittal (Grading, Street, Etc
Owner: t2!( 7,4- r,,qE
• Name ✓ Phone No.
Address
Engineer:
Name Phone tdo .
Address
Received By:
Deposit Amount $ �, 7 9, o'
. ............ __.._..__.,....._ . .................. _..._..
EXPLANATION AMOUNT - '16-21/269
CRYSTAL CANYON OF LA QUINTA 1220
78 505 AVE. 52
P. 0. BOX 1577 1 7 8
V
LA QUINTA, CALIFORNIA 92253 ,
619-564-4871
AY
MOUNT �'1 ,::: I r I L,I L 1.� C1
F DOLLARSI CHECK
DATE TO THE ORDER OF- CHECK ..AMOUNT
-.... ... .".NUMBER. ,.. ._. _.
$
FIRST INTERSTATE BANK of California' Palm DesertOffice
72-811 HIGHWAY. 111 .PALM DESERT, CA 92260
11900 2 3 Me .5 1, 2 2000 2 181: 2696 5 508 511' L&
70T
P.GA WEST PROJECT' 000-04182 N 6/11/87 23274 023274-00-01
OATS I NVOIC EI. GROSS
NET
I
' I
6/10/87 CK.RQ* 454.7 L410.00
1410.00
i,
TOTAL
19410.00
- I.IE'i:.CII-AND RETAIN T'IiIS STA-fEN11ENT
_
-
THE TTA C/lf_O CHECK IS IN PAYMENT OF ITEMSDESCRIIJE'D BELOW
IF NOT CORRECT PLEASE NOTIFY US PROMPTLY NO RECEIPT DESIRED
_
�---_--__-
--- -_ __-.-_- - _ • _ - - _ - - - - - - - - - - - - - -. - - ---. _ - -
.
I-
BAN KOF AMERIGVTIIS:, � 23 274
' -
- CFNTURY CITY MAIN BRANCH
Two CETURY PLAZA
'
PARK EAS=-�V
SUNRI S E. COMPANY -2049 CENTURY EAST
1
I'
I
- LOS ANGLLES, CALIF 90067
PGA WEST PROJECT
CHECK `,10.
..75-005 COUNTRY _CLUB OR
23274
i
PALM 'DESERT CA. 92260
5/11/87 # # 19410 O0LLARS Aho*00*CENT S
#:s�Tr410.00'
PAY TO THE ORDEK O1=
CITY OF LA QUINTA'.
.'.
I
.
_
�: �:�;r.;:i�c�re r as d� orer�l�D4.00. I •
112.0232?L, 1: 1"220006.6 W: 07470 048091'
78-105 CALLE ES.TADO LA QUINTA, CALIFORNIA 92253 '(619) 564-2246
August 19,, :1987,
Mr. Tom Hill
Anden Corporation
P. O. Box 780
77-350 Avenida Fernando
La Quinta,-CA 92253
Subject: Tract No. 21120
66 -inch Storm Drain
.Dear Tom:
This is to advise you'that the final plans.for subject project, have
been approved:and your construction cost estimate of $29,765 was also
approved.
• Prior to commencing construction for this additional subdivision
work, an encroachment/inspection permit fee of 3% of the project cost
must be paid and submitted with three sets of plans.
As soon as we receive the above we will process your permits. Please
call should you have any questions.
Very truly yours,
Robert W. Weddle, P.E.
Project Manager
RWW:bja
CC: L. Watson, J. F. Davidson Associates
File,,TR 21120
•Aa
MAILING ADDRESS - P.O. BOX 1504 LA.QUINTA, CALIFORNIA 92253
WASHINGTON PLAZA ASSOCIATES,
Nk
�0. -1080
A CALIFORNIA GENERAL PARTNERSHIP -
71-084 TAMARISK LANE
RANCHO MIRAGE, CALIFORNIA 92270
�6-21 269
'1220
9* `/�%
eerof
Y' dollars
F�r811Firsl Inlerstate Bank
- -.
' of California u 269
111
72-811 �ntP.istatP.
P.O. Box 1029
or
a/"I{(�
ekn Desert. CA 9226 9 �
- - -
II'00 Inami' 'i• 1 2 20002 lnlo 2690 55 59 3na '
l i
76•,105 CALLE ESTADO. LA OUINTA, CALIFORNIA 92253 (619) 564.2246
WGINEFIU NG
ENCROACHMENT PERMIT FEE
4
Engineer:
Name Phoebe ib. a
Address
Deposit Amount $ ZS; Received By:
Landmark. DESERT, OPERATIONS
A P.O. BOX 1000 WACHOVIA BANK & TRUST COMPANY, N.A. 66_49
,, Fr, •, LA QUINTA,• CALIFORNIA 92253 WINSTON-SALEM, NORTH CAROLINA. 591
DATE CHECK NO. NET. AMOUNT
`.PAY 07/03/87 00016917. *****#6.025.64
SIX',THOUSAND•TYENTY;FIVE DOLLARS'AND-66 CENTS
TO THE CITY -:OF LA 9UINTA
ORDER -
OF FINANCE 'DEPARTMENT
P.O.. BOX'1504 1504 LANDMARK GENERAL ACCOUNT
�• _ -
LA QUINTA.'CA.
92253
11600000 1691 ?!I' =1:0S31004941:0 LEI 7,39 00 L 23611•
I(:J&�'4 U4W
78.105 CALLE ESTADO. • LA OUINTA, CALIFORNIA 92253 (619) 564.2246
EI��II�'�IIdG
ENCROACHMENT PERMIT FEE
Date: z��?
Project Description:f7.2 27,1'-32-- '/
Type of DabiTdttal (Grading, Street, 'Etc.); _
%fir• i' c/d� �% � cif �� i� �.� i�,,.,�+-
Owner: P
Name • Phone No .
LING ADDRESS P.O. BOX 1504 LA OUINTA, CALIFORNIA 92253 •
ti
co
0051$2 10 5$63 07-02-$7 i0
'
i0 CASH i TOTAL S. 3.3 21.32
d
¢ ucn
ir: .;..
sz
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4
C) W4X
( U_
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C-1
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LING ADDRESS P.O. BOX 1504 LA OUINTA, CALIFORNIA 92253 •
5
r
i •
, < r
ALLAN R.- LEVIN
%
f P. M. LEVIN
1624/669 72-963 SKYWARD 'WAY � 3464774
1220 (7
'PALM,1713
Y
1
DESERT, CA 92260.
1,
PAY TO ��;
* • �./�.`J
• ., ti. o±♦
�-
\�G
(►,.] • •
THE ORDER OF • -b • T-1LLARS
$
.
r
'+
PALM DESERT OFFICE
74-105 EL PASEO,,PALM -DESERT CA 92260,
NATIONAL ASSOCIATION
' 12 2000;24J7i:2 L,3 ``0.68•,9 244408u'
s •• it f G•
..�
t „ ✓. ,.
"{.
CE.Mof�S 78105 CALLE ESTADO "- SLA. QUINTA, CALIFORNIA 92253 c (619) 564-2246,
EII��IIING '
ENCROACHMENT PERMIT'`FEE
{
Date: i'o i z.
Project Description: i:'
S ( '� �,�c., v --5 i:12,7 C:.L ✓l3 ! /�ik• j
Type of Submittal (Grading, Street,t Etc:): $'
Owner:
•, NamePhone No.
t'
Address
Ehg-irleer: [? C: rf-iZ c� e r�.s ; i > _l --3
Name. Phone llo.
Address j
Deposit Anv6nt $ -,_� ,; Received By
EDGAR CONSTRUCTION CO. 1045
40825 YUCCA LANE PH. 619-345-4048 '
•.` BERMUDA DUNES CA 201 19v / 90=4144/1222
PAY TO THE
DOLLARS
K,E
DESERT 51-296 Avenida Bermudas
NATIONAL ASSOCIATION La Quints, California 92253
MEMO - -
�� 2 24`1446'�: L045 00 00377 Lii''
MAILING ADDRESS P.O. BOX 1504 - LA QUINTA, ,CALIFORNIA 92253'