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1992, 05-26 Permit App: 92003704 SidingCr15 4,ed r€ ° 5( **************************************************************************** INFORMATION WORKSHEET * ************************************************************,t*************** * * PARCEL NUMBER: * STREET ADDRESS: -)al() 2pA C- * CITY/STATE/ZIP:�Pc ��L-A * * * * BLOCK: LOT: ZONE: DISTRICT: * * LOT AREA: F/A: WIDTH: DEPTH: R/W: * * # OF BUILDINGS: # OF DWELLINGS: . WATER DISTRICT; * * OWNER: 'PA TT % 0 4� ` S Q.� PHONE: 50e1 — 1 a — (o -,e---10 * * MAILING ADDRESS: .Bao C> 2A Ct- * * CITY/STATE/ZIP: -<)Q * * PHONE: 5) 9 - 9D `� - q(,,LC, * CONTACT: l ;17-22.),,, * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * * PERMIT USE: * * k**************************************************************************** BUILDING INFORMATION * * CONTRACTOR LICENSE NUMBER:MCA) NI 8 0- 5 4 (0 Re. * b'�G U A � be ---(4(., ri `L CONTRACTOR: 1.--,te 0 A 1 La o -t.., vz s PHONE : S09 -12 - 4 (o h * * MAILING ADDRESS: ►J 3 I 0 A 29 on c‘.;•• -•'>P. -,,,e fk-- t * * ARCHITECT/ENGINEER: PHONE: - - * * MAILING ADDRESS: * * NEW: REMODEL: L/ADDITION: CHANGE OF USE: * * DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: 10 ' L:' re -5 * — q , 5 o 3.5 * BUILDING DIMENSIONS: X (WIDTH X DEPT * 11C ? b * REQUIRED PARKING: # t?ANDICAP: SEWER (Y/N):_ * ************************ * kit**'k***i********************; AwA;1of‘ SUBDIVISION: