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1992, 04-01 Permit App: 92002081 SewerSpokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: 076 - STREET ADDRESS: 5, 1 710 13u ',vs 'Rd CITY/STATE/ZIP: Ve('Gtc/o 16 W?f037 SUBDIVISION: %raa..1"Z5'6 L 6 3 ( C� BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF DWELLINGS: WATER DISTRICT: -9 -5719 # OF BUILDINGS: / / ,� OWNER: ' 1 �r'cYi QR� c -,J. / ` - aro C SQ/1 uCMM"MHONE : 509 MAILING ADDRESS: 5. /710 (-lard/-5 CITY/STATE/ZIP: V% Papa 99Q37 CONTACT: PHONE: - - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: