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1987, 06-29 Permit App: 87001973 Reside**************************************************************************** INFORMATION WORKSHEET * **************************************************************************** 07- l-13 * PARCEL NUMBER: Cr701-2— —76n-2— * * STREET ADDRESS: ll • d 17 ,-; 6-, .1-1) ' •- 1.- - * * CITY/STATE/ZIP: F 0 k -6c -j (OA 0 / ,,-- — - SUBDIVISION: O1/MRD AVG * BLOCK: LOT: ZONE: AS DISTRICT:_____ It4. LOT AREA..1"-F/A: r: wIDTH;1'2:7 # OF BUILDINGS: 6c tc OWNER: DEPTH:r2--t ; 'et # OF DWELLINGS: WATER DISTRICT: MAILING ADDRESS: N / L'/ PHONE: 76 47 CITY/STATE/ZIP: ,( ,d4 CONTACT: PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: • , • - • PERMIT USE: •,/-tt c * * * r**************************************************************************** BUILDING INFORMATION * * CONTRACTOR LICENSE NUMBER t /1-)/Y /74 "-'456 -'if,/,.. /)-)c-1 * * CONTRACTOR: .). 21( I (,',1 L C) //c -{ t ...)----- PHONE: q.,,:iff — /, * * , /7 .._n -,,L , _ L ir, if.2__ /t,r)czet.-- (ig,-) MAILING ADDRESS:7 1,,,, t * 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: * ************************************************** ************************** (a, / /-•r7k-- re e )