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1990, 07-09 Permit App: 90003207 Reroof
PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: �\ • /7`�r/l_ef, J. 011- CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT: LOT: LOT AREA:" F/A: ZONE: - DISTRICT: R/W: 4 OF B . # OF DWELLINGS: .WATER DISTRICT: OWNER: /f - L.L.( . PHONE: �6/9 - - /Self MAILING ADDRESS: CITY/STATE/P: CONTACT: �7 jf f SETBACKS: - PERMIT USE: //4 FRONT: LEFT: PHONE: - RIGHT: REAR: **************************************************************************** BUILDING INFORMATION CONTRACTOR LIC SE NUMBER:, 5/ ,1i - 5/ 2 g Z Z /C CONTRACTOR: MAILING ADDRESS: /0 ARCHITECT/ENGINEER: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: PHONE : �a 9 -9- ///D X 55� PHONE:, DWELL UNITS: OCCUPANT LOAD: BUILDING DIMENSIONS: REQUIRED PARKING: BUILDING HGT: STORIES: X (WIDTH X DEPTH) SQ. FT.: # HANDICAP: SEWER (Y/N): HYDRANT: