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1989, 04-19 Permit App: 89000913 Demolition
INFORMATION WORKSHEET PARCEL NUMBER: toe \j• �U c 1X53/- //b5 1tZIQ •ES?- STREET ADDRESS: ( 0 CITY/STATE/ZIP: /0,,_ /Z)105--1( SUBDIVISION: BLOCK: LOT: ZONE: TZJ DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: _ WATER DISTRICT: OWNER: Lid 4) PHONE: - - MAILING ADDRESS:- CITY/STATE/ZIP: DDRESS: CITY/STATE/ZIP: CONTACT: PHONE: - SETBACKS: -FRONT: LEFT: RIGHT: REAR: PERMIT -USE: ******************** ********** ******************************************* BUILDING INFORMATION CONTRACTOR LICEN E NUMBER: YD J(D0 CONTRACTOR: ,h S saeM/5 /I t ) PHONE: $b9 - MAILING ADDRESS: I 3702 gC(C JO -it k/ . O pyaL2.. v ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITE: OCCUPANT LOAD: BUILDING HGT: STORIES: OMB ONO BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: gy -qt l 2 G23