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1986, 11-03 Permit: 00013966 Garage
SIGNATURE OF OWNER OR AGENITT JOB ADDRESS OwNER: ADDRESS: TV: ST: ZIP: APPLICANT. CONTRACTOR: ADDRESS: CITY: ST: ZIP: PH: LICENSE.: ARCH/ENGINEER: ADDRESS: CITY: ST: ZIP: PARCEL.. CENSUS TR: INSPECTOR: PLAT.: - 9 LOT & BLOCK FINAL ZONE.: ZONE FSB 3Ig 5 - 2 RSB 3' MOD USE OF PERMIT: JOB ADDRESS: APPLICATION DATE PROJECT# SEQ. : DATE: n FEES: PAID BY: 9*Yr' t.„...!. 11 ; PLANS EXAM: DATE: 1..n.,1 6 1 L 1 OFFICE COPY