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1989, 04-27 Permit App: 89001042 Pool
INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: ,?4/Q93 S0: -Crit //4-/-.S CITY/STATE/ZIP: S P©KA-tL_, Gun-sN, 9-92-o SUBDIVISION: A ( bang BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: cc # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: 1� 6G,t OWNER: Al/ 'I I t<KI (� LILi PHONE: -(169 - ?VV.- (1.-4 34 9 Scc , 3ArL2 MAILING ADDRESS: CITY/STATE/ZIP: S'ppt246-ic[ UJFH. ci9 2-0,6 CONTACT: KT Ito 1-1.1cLAI PHONE: \Ul -9-11 - SL SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: I,l[L% Al2-1-1/41 114-4 Al IA1l— l60 ( CONTRACTOR LICENSE NUMBER: BUILDING INFORMATION C -s-i- P A- ii i h CONTRACTOR: S j [j (j✓f 290/-S PHONE: s'2 -S �(L" �? f MAILING ADDRESS: 7/79 /Vac f/�' S R ci9,% G' .�dl9. of ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW:>S REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING DIMENSIONS: REQUIRED PARKING: BUILDING HGT: STORIES: X (WIDTH X DEPTH) SQ. FT.: # HANDICAP: SEWER (Y/N): HYDRANT: 34o9 lo. � ' v�-S-