SBA 1993-189r
78-105 CALLE ESTA00 — LA QUINTA; CAUFORNIA 92253 - (619)' 564-2246
CASE NO: 1z;7 -0-
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CITY OF LA QUINTA FEE: $100.00
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PLANNIN&' DEVELOPMENT DEPARTMENT
OF APPLICATION FOR SETBACK, ADJUSTMENT
APPLICANT: Submit this form with two copies of a scaled site plan,
drawn to adequately depict ►the nature of the request. , A'nonrefundable
.fee of $100 is required when the Application is submitted. Check must be
make payable to the "City of La Quinta".
i
If the. Applicant is not the -owner of' the property, a letter must be
submitted by thz 'owner authorizing the Applicant to execute this -document
in his behalf. {
@P , PLEASE PRINT .OR TYPE
APPLICANT/CONTRACTOR:" /' V L DATE
CONTACT PERSON (IF DIFFERENT) -PHONE
MAILING ADDRESS: 02G />GljCo /Tj,QG�� �O
AFAdd_ress_')/__(City) (State) (Zip)
OWNER'S NAME: 1 l/ t/---_ PHONE 3 -A V- .3G S'
--MAILING ADDRESS:
(Address) (City) (S ate) (Zip).,
STREET • ADDRESS OF PROPERTY: _-z S'lj ]
LEGAL DESCRIPTION ,OF PROPERTY: LOT # -TRACT
ASSESSOR'S PARCEL,NUMBER:
ADJUSTMENT REQUESTED: B C'
E°
REASON FOR REQUEST: �
r
7
JUSTIFICATION: No request for a'setback Adjustment shall bet" ranted
unless it is determined that fit is' consistent with the intend and purpose
of this Ordinance; that there are special circumstances applicable to the
property, including such factors as size, shape, topography, location or
surroundings that justify the approval, -of the adjustment of *,the setback
requirement, and that the ".adjustment.will not be detrimental to the
health, safety, and* general welfare of the community or be detrimental to
property in the area of the parcel. for which the adjustment is requested.
FORM.013/CS