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1991, 05-24 Permit App: 91002866 Sidingr Uq-1 ui-rio& _ �aaa . **************************************** ************************************ * INFORMATION WORKSHEET ****************************************************************************** * * * PARCEL NUMBER: o?F..5q/ D j0 f * * STREET ADDRESS: ,S 1 (, 1--1 ✓' 0,9 1---c-In • CITY/STATE/ZIP: 3-"PnK-P - , JA - Cfri D-0(4, * * SUBDIVISION: /141-4'234'.:u * * * BLOCK: / LOT: % ZONE: DISTRICT: * * * * LOT AREA: F/A: WIDTH: DEPTH: R/W: * * * # OF BUILDINGS: # OF DWELLINGS: , WATER DISTRICT: * * * * OWNER: () L k 0 ct r, as w r"s S `- 7\ PHONE: - - * * * MAILING ADDRESS: j (,, �',Lr 71,o(a ►-ten * * * CITY/STATE/ZIP: 5e6(N.,,,- ‘,....A cil D -G(, * * * CONTACT: ,--;i?; 3 �i PHONE: 501 - `'1 D 4 - a1 * * * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * * * * * PERMIT USE: ,--.---1tO � ,--.) 5'a T * * ****************************************************************************** * BUILDING INFORMATION * * * CONTRACTOR LICENSE NUMBER: 1 tf kpli„( i9.)L -R-' rY1 * * * CONTRACTOR: i- t e °'M 6 R. J -t -el? PHONE: 5 - 1 Ds - 14 (o 8 (n * * * * MAILING ADDRESS: /V 310C, 1 Q 6jonn r _ P.>,c tee, wa q9 a I * * * * ARCHITECT/ENGINEER: PHONE: - - * * * * MAILING ADDRESS: * * * * NEW: REMODEL: V/ ADDITION: CHANGE OF USE: * * * * DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: * * * * BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: * * * * REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: ******************************************************************************