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1989, 05-23 Permit App: 89001400 Siding, Soffit, Fascia*******.********************************************************************* INFORMATION WORKSHEET * * 400 PARCEL NUMBER: /� STREET ADDRESS: G C , /1/, Jog izoit-� ` CITY/STATE/ZIP: Sro .{ip i.v A- ! e1o2/(p SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: * # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: * OWNER: lJ-Lilo /,(i1/J2A) PHONE: ! — 9.2 V— J MAILING ADDRESS: E . l4.10113 0 B * / * CITY/STATE/ZIP: SpotAMn, ( A 1 �`�/6 * * CONTACT: PHONE: — — * * SETBACKS: — FRONT: LEFT: RIGHT: REAR: * * PERMIT USE: S f ,_Sd(n9/ , )GltCt i G(QJ BUILDING INFORMATION * /� * CONTRACTOR LICENSE NUMBER: / 1(c/ V 16 sV M E ,/J * CONTRACTOR: (: U((, y £.i' T' „,/ PHONE: 5 29 -14_,fr v(a * * MAILING ADDRESS: 7J , 3/O6 Q/tL%D'1vk e- P1- s/2P).k P g9.) -/a * 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: * ************************************************* *********** ************** tz a-ei 1/2 on — 5V700 - inti' F -.-et, - $ S51.So