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1987, 04-29 Permit App: 87001160 Pool* INFORMATION WORKSHEET . * ************************************"************************************* * * * PARCEL NUMBER: * * STREET ADDRESS: * * CITY/STATE/ZIP: * DS�S��fl-�3o1 9190 (, /LM -3 /2D , S'PD►RA3-C � v.9A, ggdo * SUBDIVISION: J t.(,0 * * BLOCK: S LOT: I ZONE: DISTRICT: * * LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF DWELLINGS: r �- PHONE: pct 9- /?97 * * * * OWNER: laNr PAC) g01.1. # OF BUILDINGS: * * * MAILING ADDRESS: E. 9?O7 /lvL./ubevJ a, • CITY/STATE/ZIP: 141/JC t Wag, 97I-04 * CONTACT: APtJ cv.JL.AfS £jJ PHONE: �/�- 4:.. _ * * SETBACKS - FRONT: LEFT: RIGHT:. REAR: * * PERMIT USE: 244..,/40 Nad <1 W t MM 1 nim Po -a L * ************************************************************************* * BUILDING INFORMATION * * * * * * CONTRACTOR LICENSE NO.: Cu -ST r9 P -T'" i b( ht' * * CONTRACTOR: _ME S U JS£� PHON9- �.. -1-7,7 * * . Cbc 7 --nn PE Tr - n * * MAILING ADDRESS: // / 9 A%©• r/AJ £b r f � >04f * * ARCHITECT/ENGINEER: PHONE:- - * * * * MAILING ADDRESS: % A * * * * NEW:X REMODEL: ADDITION: CHANGE OF USE: * * * * DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: * * * * BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. * * *REGUIRED PARKING: $ HANDICAP: SEWER:(Y/N):_ HYDRANT: * ************************************************************************* •r i, NJ i .er) i) ills(V /id , J 5-7 \ A i. I IkJ'b --n-- 1 19 i I !. � ; .. _ .__ LL- . I'.--- / ri 1 -. - - -_ . _ .. L1 ' -