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1987, 10-16 Permit App: 87003425 Siding
.0 INFORMATION WORKSHEET zS 7 -D viprv-r. NIFKBER- STREET ADDRESS- CITY/STATE/ZIP: SUBDIVISION: // /0 8 * 16"Tt C -C-1 /CC,:,, . ., tj P-�p 4 BLOCK: LOT: ZONE.: Moil DISTRICT:: I F LOT AREA:K(O DEPTH: _:WIDTH # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER &Ioqz,& 0 MAILING ADDRESS: zo � '61-a cc-, CITY/STATE/ZIP: PHONE:. S-01 9J oc, 4 CONTIACT:. PHONE: SETBACKS: FRONT. LEFT: RIGHT:— REAR:• . PERMIT USE: BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR- rva.2d & PHONE:. MAILING ADDRESS: 0-ceoad— Q�o ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES; A� BUILDING DIMENSIONS:- x (WIDTH X DEPTH) SQ. FT- REQUIRED PARKING: I HANDICAP: SEWER (Y/N): HYDRANT: k'� /1w — W 775 60