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1987, 11-24 Permit App: 87004035 Remodel* INFORMATION WORKSHEET * ****************************************************************************** * PARCEL NUMBER: SA- Z-- * * STREET ADDRESS: /49/4 !P., .P... * 0 * CITY/STATE/ZIP:. * * SUBDIVISION: * * BLOCK: LOT: ZONE: DISTRICT: * * LOT AREA: F/A: WIDTH: DEPTH: R/W: * * # OF BUILDINGS: # OF DWELLINGS: / WATER DISTRICT: / C" * z * * * z z * * z * * * * * * • OWNER: ,-R1' * MAILING ADDRESS: * * CITY/STATE/ZIP: * * CONTACT: * PHONE: $ -9 - g'brr * PHONE: - - * * p SETBACKS: - FRONT: .17 LEFT: RIGHT: REAR: * z * PERMIT USE: * 1.44041fi Ser- * ****************************************************************************** * BUILDING INFORMATION * * * * CONTRACTOR LICENSE NUMBER: * * * * CONTRACTOR: PHONE: - - * * * * MAILING ADDRESS: * * * * 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: 1 HANDICAP: SEWER (Y/N): HYDRANT: * ******************************************************************************