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1989, 05-03 Permit App: 89001134 Remodel
PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: /%Q/�Ssyn, ,t( CITY/STATE/ZIP: datAl i& 617U FIQ 37 SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: Vat() OWNER: { 7/14""' PHONE: 6-09- !"ad'' - 9S}/3 MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: PHONE: SETBACKS: -.FRONT: LEFT: RIGHT: REAR: PERMIT USE: CONTRACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: BUILDING INFORMATION PHONE: 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: # HANDICAP: SEWER (Y/N): HYDRANT: