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1989, 01-10 Permit App: 89000056 Gas Line
PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS:E CITY/STATE/ZIP : SUBDIVISION: kJci 9 1 t BLOCK: ZONE: : ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: MAILING ADDRESS: I CITY/STATE/ZIP: PHONE: -_a211-7 PHONE: SEiBACKS: - FRONT: LEFT: RIGHT: PERMIT USE: ****************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: PHONE: ARCHITECT/ENGINEER: MAILING ADDRESS: DWELL UNITS: PHONE: REMODEL: ADDITION: CHANGE OF USE: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: HANDICAP: SEWER (Y/N): HYDRANT: Revised 1/88