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1988, 02-23 Permit App: 88000298 Repair Fire DamageINFORMATION WORKSHEET PARCEL NUMBER: /5 - 2-4/-62_ STREET ADDRESS: 4/ /// GL/A/To CITY/STATE/ZIP: S pcCcf- y1 - SUBDIVISION: / ATS T 'S BLOCK: 'Z- LOT: 12- ZONE: A-5 DISTRICT: LOT AREA: F/A: WIDTH: ,o DEPTH: /46 R/W: 5-6 # OF BUILDINGS: # OF DWELLINGS: / WATER DISTRICT: al A OWNER: /4 TAIL e/- te/ r c s e .J PHONE : 9L - g'c/L 7 - MAILING ADDRESS : /() l/, C iii ds) CITY/STATE/ZIP: s edzn-A,C (jJf/ CONTACT: PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE:(2� l7 Ao\ p<<�" 2 P/- ****************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: /(/pp m' 6 0 Z CONTRACTOR: 44.70'7F(/,r/C S T /JL4,1d MAILING ADDRESS: /j) %_S- / I /2L-/2, / PHONE: - c/J - 2J -oe ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: REQUIRED PARKING: -4 I -3 C X (WIDTH X DEPTH) SQ. FT.: # HANDICAP: SEWER (Y/N): HYDRANT: •