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1989, 07-18 Permit App: 89002274 Siding
* INFORMATION WORKSHEET ****************************************************************************** * * PARCEL NUMBER: * STREET ADDRESS: //3o T ,/ e * * * v * SUBDIVISION: * * BLOCK: LOT: ZONE: DISTRICT: * * LOT AREA: F/A: WIDTH: DEPTH: R/W: * * * # OF BUILDING # OF DWELLINGS: WATER DISTRICT: * * OWNER: AY Ci c /4 --71 *fr. PHONE: -216 - C * - * MAILING ADDRESS: // :)l) 5 )iy71 ,©l re, * * G * * CITY/STATE/ZIP: „Cio/1 1 e (kid , * * _ * CONTACT: PHONE: - - * * * * * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * PERMIT USE: �L C" L -k a) .-- (--/ �, C7 i�.r - * , v J 5S5 uci CITY/STATE/ZIP: -gj% alf �r � `tel' p -n �n * * BUILDING INFORMATION * * * CONTRACTOR LICENSE NUMBER_.,e. / A /3 ((Bit/ * * * * CONTRACTOR: d��� c6r , PHONE: -� s- e/(46� i,:z* MAILING ADDRESS: 4 JJKz� Ci � * * * * 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: * ******************************************************************************