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1987, 03-17 Permit App: 87000638 MH
*************************************************************stat****** ****. * INFORMATION WORKSHEET ************************************************************************* * * * PARCEL NUMBER: * * STREET ADDRESS: * * CITY/STATE/ZIP: * * SUBDIVISION: * * * LOT AREA: 7).051-1 3 -C-)963 5 'a10 Oisht()cArl. C 33polhr-v , • QQ06 kink( 've61D %Cut 1 L BLOCK: Fj - LOT: ZONE:• * * * * * * * * F/A: WIDTH: 1 S # OF BUILDINGS: 1 # OF OWNER: r(N IC_ 4 NR 04A4,00Y1 DISTRICT: DEPTH: l 00 R/W: DWELLINGS: ) MAILING ADDRESS: CITY/STATE/ZIP: E n3 te PHONE: 551 -QM -on/ /Am, (4r.4 - 99da, * * * �^ eq -11 g5 (c»r f C • CONTACT: f is eo nc V PHONE:..._ -...g1-015/ * SETBACKS - FRONT: LEFT: RIGHT: REAR:. * * * * PERMIT USE: SYNC -ALE W %OE "(Y1.013\ tr'E. UN -ie- * * * BUILDING INFORMATION CONTRACTOR LICENSE NO.: CONTRACTOR: MAILING ADDRESS: PHONE: ARCHITECT/ENGINEER: MAILING ADDRESS: NEW: REMODEL: * DWELL UNITS: * * BUILDING DIMENSIONS: PHONE: • ADDITION: OCCUPANT LOAD: * *REGUIRED PARKING: CHANGE OF USE: BUILDING HGT: STORIES: x (WIDTH X DEPTH) SQ. FT. * HANDICAP: SEWER:(Y/N): HYDRANT: G ****t*********t****t******************************i*****************r****-*t*** * MOBILE FCNE INFCRNATICN a* * CONTR LICK: * * * CONTRACTOR: PHCNE: - * * f * * MAILING ACCRESS: — * 4 * PREVICLS ADDRESS: * * * * LOCATION: PARCEL NLYEER:_____ STREET: G- °551ei 4 O * * * CITY/STATE/ZIP:_ * t * MAKE: \O1 , 01 -Lain -F( OGO NCDEL: ; s * * SEPIALk: bIOTF:_If_ LENGTF: ZZ7 ************t**S*ISIS**************************************#******#******t*t*# * RELCCATICN INFCRNATICN * CONTR LICK: * CONTRACTOR:_-_— PhCNE:__-- - _-- * * * ,MAILING AJCRESS: * * PREVIOUS .CDRESS: * t • LLCATICN: PARCEL NUNBER: * S1REET: * t * CITY/STATE./ZIP: * * SIGN INFCRNATICN * * CONTR LICk: * # 4 * CONTRACTOR:___— * t * MAILING ADDRESS: * * * * SQUARE FOOTAGE:____—_ PULE FEIGHT:___ * * * s *******t********************************************************************** * DEMCLITICN INFCRNATICN * * CONTR LICH: * * * * CONTRACTOR: * - t * MAILING ADDRESS: * * * * BUILCING SQUARE FOCTACE:___ * 4 NUNBER CF BUILCINGS:— * * *