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1990, 05-17 Permit App: 90002152 Reroof
PARCEL NUMBER: s'Y INFORMATION WORKSHEET (.6fZ STREET ADDRESS: 75-29 CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT: LOT AREA: - -.._. F/A: # OF BU 'INGS:' OWNER: d , / MAILING ZONE: . # OF DWELLINGS: - DISTRICT: DEPTH: R/W: .WATER DISTRICT: PHONE: JG, - A - / 1. �..� DRESS:" CITY/STATE/ZIP: CONTACT: z/,(,)4' ,47,z SETBACKS: — FRONT: PERMIT USE: LEFT: PHONE: f ' 7 - /rho X � GHT: REAR: `12- **************************************************************************** CONTRACTOR LICE, SE NUMBER: CONTRACTOR: , /; BUILDING INFORMATION MAILING ADDRESS: ARCHITECT/ENGINEER: MAILING ADDRESS: HONE : -LCLL—�— //7Q - 77) j 9„fes PHONE:, NEW: 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: