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1988, 02-29 Permit App: 88000349 Repair Fire Damage
INFORMATION WORKSHEET PARCEL NUMBER: 2- 2 5-1--/ Z80eo STREET ADDRESS: CITY/STATE/ZIP: ///'I SUBDIVISION: 60,0 - Ce -al -Ar dov LC- 3/ BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: /14 C.t/ �l-rr PHONE: -92g- - q'22— MAILING ADDRESS: , S j// 47Ag 4 4.1 CITY/STATE/ZIP: .� CONTACT: PHONE: SETBACKS: - FRONT: PERMIT USE: LEFT: RIGHT: REAR: _s-doc:, **********************************************************************x******* BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: A/p/fr'{-/ C/Q?71 ry 7 CONTRACTORS/jZ-/S' .-4S LILV „ PHONE: -_!___ 6 L/7r MAILING ADDRESS: 77 <7;7.057 /��j v 772 07 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: - NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: Dtmn4 ce.7 1/03/