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1986, 12-03 Permit App: 00014391 Reside:, (THIS IS NOTA PERMIT) BUILDING PERMIT APPLICATION WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND COMPLETE IN INK (Please return this original and your building plans to the Department of Building and Safety) Project Number L Owner's Name LAST FIRST Mi B Project Address (Street Name 8 Number) Zip Applicant _ _ Wye LCR. ielec/C.As k--_ Address 74 - 3 Fa 3 Ecte ufenL-- City Sion% � State uJA Zip 99,ai�. Phone (5q) 904-9335 Business Phone ( I Contractor/Agent 71'1 CEIL, y &- alte-La.---/- Add ess 71 . 3/ 0 6 a4_90 -e_____ /'�. City .Sp-o/(e -A--e - State CC) 4 Zip 9q.2 ia_. Phone (5-09) 9 a Er- seep % Contact'', /,� � ' � ^^ y TVI CUaili License Number (Required) The U4 %e C 3 4{/ 4/) 6 Business Phone I 6 kic fit..... Architect/Engineer Address City State Zip Phone Contact Business Phone ( 1 Lender Address City State I Zip Phone ( ) . ' ;,:z,"';t s. , - -. - Describe work -• - :- ?'','!.:'.?-1^;C- '{,--.1.4.7.4..."2,, - - ' T.�•te'+{Fp !'[-.,.a.. RBS /: - Comm.. K.. Subdivision/Plat Name/Short Plat Num .:. ., : • - - ; } ,. - _ 'Assessor Parcel Number.' ie. (Pit _ Z-4.V/p .-[tt )� » t":,'a -' ., ' .Ldt��;;, .,.�;; .t e^L" !+ 'f Block '.�' Plat Number -�- 'y'.a .. .. > '�>•-- Portinent File Numbers + -- ,w-sa..,. •- ::, • �:y-,ter'i ss Zone: -' '; 5:5 ., c Camp. Plan,' __ • ".. Census Tract Numberof Dwelling Units T, xZ- .m a. ,:,Y:.:?i. -: t'i Number of Buildings { e%. . .�a,t :' .S�rsu -•..t`_:.:' Lot Size (Sq. Ft/Acre), ,'i -'. x'✓f.1'i':n1Y.+:-J` Depth t- Frontag:w:fiB ,_ ';. . • .,..i Front Setbacks' Y.y~` _ a 5f. ;Left Setback:v`:a.44:��✓.r ,x� .;}.)afr `rp. P.. Right Setback,:- 4.:S:.• "` .Rcar.SetR/WWidth..., .'.:."r, :_. -� '':?M. ',T.�'aroY`.. .iR.v-. ''r_1.:. �:....h. n,>>•y' ,. r^ni. is:. 4f'ti�_ Additional Informati . .;._'.Y;k: .r t's`..nv. >: i.r.-�' ' :^.0.` ',,i�a8U1LDINO INFORMATION. W_reipta .'�K:tL i''.';.'::,icri . :',X[J „� /.a/� 'a•' _ .---; - §,.,,s. ''.`i'r'"' -: S.�t {Wi-LS..f..". ••3�.. Yw�'ftv' .:3 e�i•:.�":w p..«r: a�x:, ;= ��L•:t `_ - ;`%:° •:fe - 't t.>„. :.'l'.: `<` •'S_ +i• i 4r., •T4i-t aY.C:_:n..%+-„”i:; ittl' -�Ra.. a. e�aatl.::'i '- .. '.'.'Y _:�:'.':�'-.'...t"e"t -' i =s^: 2 9 .. �••it:.:' "-„-. � .. '`.'?r....; - ..F. -- _-t...,'~....a. .. ;f.l. ipr y' - - . ... � ;�'$S:'i st :.;<s'«'F� w.;'^ %t` `.1.,, d.:Y :a.:vr •Ly-rtti. .: ay e,'`}.'.'_3 i.t'.`3+;%ro pr;,e ..ti.�Yrt._.:..i 6.: x=.v.^r„t;,;. %•i:v-tvri �. ra . ,: `J=r �k..i Y......r:K:'¢R°3i__k_..":#aa'u_'sL-Z:.'�.itY`r}nY:'+..:..aYti' J!0./`�.M. •T,: `v..siyarin`z..a{p j. :w"{-,',i,�.:. :y:w?:r�r: y.,a �' 4i'�,�: •t }••3. $1 §.. y>•_J`.:.: i1 af. a K'.'iii5 ;.. YR S' P"31 -,,.4 ':t •= R•- ',t-` _ _ .M :c:c. : . z�` %i6-' •i'«. 3+ wa {i.`,” �:a _ •n • c. r•. Y•i'A b :C- .t.ia .. «.. .... - T^ _{.} :.Y�..--•-+. - 4:: it'Wr^.4i ' "a �.,.t 'pt.'.,: �rzpa:?d'.+'r•.«",".i.::'a :'S:^ T^:` «.�YYa+r, h: M.'w .S'.4 :'nCaYf'' .L4 'i Y'�i•M1.::Cr^ 1.`yl ���t ._: .. ..'cx r+i�,i'.�,£S+.��,23'�'-'.l'�i"^: ig'•i.�t,: ikY-: i',t. �t/f�' .=:,`R`'T,��`i�'Y .:.. "-�°rb" �� `r�: xC:itr 'ya. s. F�-tl .:'a�^;+� ^.r, .?=_" e" .a45.evk S.Y -C* :.v,✓.s,t-A�,'.. T`,kis. `.'X `. t.' `.:.)-...^*j{�.�'i+.::.`v.: y;'yh�'. ', ty '."fw.'r b::4 �%"' '�r:"t ��P}p1�: r"av ':t%'� •<. �� :fyi:.::i.^ `"' s'i:.n:: «p't2p�A -�: „:. ...,. yy.S'n ✓tt:A"y4."°ir .+wy ?•x ^f Yti y.'+"L,,.}:'.WY--w�'siF,�'.C:+ 42 Y,';j•<: S.!'. 2+rj..t=,Sw 4 °K : �, .YY: •.QA ..>y.r �." ul' D .1'r1, �Y. :.J1:q:. r r.•'�i;. '°°4 iiKJv � =_t.'i;;a , :°..rtinvi ;i`}, 4^r. .., :'.�n� ..,'.; Nimiper: plBBdreae �r".-t'.:^.,1-aC:,..•�.. i wP:rcer.- .C.'19. Bulidin ,Technicians _,s'ar,,:v.'Y:� •',Date'-- yy 9.y_• t.ar'.s.;. 4 '.j j4 S+ y� �,Y K.i' . +'+'}' t'h'YhJ3yS:4 rvt. �" 'e?°s"t"..i:9f'.r y, t.R ,7��^tt :.a�. '�' -'..:: i.1 _ `:v,. �`,'�??.g'"s; .,:V^i. 43 .r.., -n, ..yam.. ;4, --,:`ti F ih`. ,,.'(: .5. �G'Kq 5$`r � }�y.'�'"' �eL..-�{. 4Sta ..�-viY.' 4?.4...3, \t.:s .ii4Q-'Ll'..•w'-::� Gx-:$,»?::P NN 'Group` -�C,y :'TyPa_'F1"m-', 'T � e.✓' 3 l' '}�{{ll•n.� �y .iv,"t •''rhe sTM.:., '6VY Ri�`"�r a_'I YtaJ� _. ��as'