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1993, 04-30 Permit App: 9303091 Siding0 ( t,(:E L- 2, 6-1 ss o 6 20-m . (L42_ **************************************************************************** INFORMATION WORKSHEET * ****.******.*************************************************f*************** PARCEL NUMBER: STREET ADDRESS : 21 t (o CITY/STATE/ZIP: Shaka VVA c1CtZiZ SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: • eL LOT AREA: F/A: WIDTH: DEPTH: R/W: Y.$I OF BUILDINGS: * OF DWELLINGS: WATER DISTRICT: OWNER: (2.a.,t1L_, Clyg�l`' PHONE: —°I20 — SS6Z- MAILING ADDRESS: 2—‘04) r..► • `a, CYC 9_,A CITY/STATE/ZIP: S �614_4^. ce12-1 CONTACT: ;62_s...fly PHONE: - Ot? L 3S SETBACKS:" FRONT: LEFT: RIGHT: REAR: u PERMIT USE: b'\--5% S o'(: k R."'S-C--'t A , w; , d1..�s- c**;**,**.*************!4****************.*************************************** BUILDING INFORMATION CONTRACTOR LICENSE -NUMBER: M \J ,, % 31/4-1 L C 4 • CONTRACTOR:. MAILING ADDRESS"; {J • \ O(n PHONE: ARCHITECT/.ENGINEERz PHONE: —. — MAILING ADDRESS: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDINGHGT: STORIES: BUILDING DIMENSIONS: X. (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: fHANDICAP: SEWER (Y/N): HYDRANT: t****************************************************************************