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1988, 11-10 Permit App: 88003640 Fire Damage
INFORMATIONORI:S ..�HEET r. PARCEL NUMBER: 81'(10 STREET ADDRESS: Et 9-11°3 Cot 4- a lo(o are 2 CITY/STATE/ZIP:tir, KGIn p � VV a . 9 9'212 SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: / .% OF DWELLINGS: WATER DISTRICT: 7A 11// y(�� / // q/, 7aknP4u"y OWNER: 4& /�/lrs P11 A ari-fg . PHONE: - 7,22- 377? MAILING ADDRESS:_ SC�Y»E CITY/STATE/ZIP: CONTACT: PHONE: SETBACKS_ - FRONT:jjLEFT: RIGHT: REAR: 4- PERMIT USE: hP %ii d5t ***********************x**t*****.********************************************* CONTRACTOR LICENSE NUMBER: BUILDING INFORMATION /O CSC)jr Eld ter C 2 i1 K 5/23 tir9 CONTRACTOR:: i7G6 '` ( On C PHONE: go at- q)€ C35b .'. MAILING ADDRESS: S /2/20 ad (tins -U/a `,7431. ARCHITECT/ENGINEER: MAILING ADDRESS: PHONE: NEW: REMODEL: V ADDITION: CHANGE OF USE: DWELL UNITS: 1 OCCUPANT.LOAD: BUILDING HGT: STORIES: • BUILDING DIMENSIONS: X (WIDTH -X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: