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1987, 09-25 Permit App: 87003184 Wood Stove4****C*****:***r4-+fo+****F%***************tt****tCLOG*****a***44***c******t0= * • INFGRMATICN WCRKSHEET * *****t**********C*:***44*******C*OAR************O*****************************C GENERAL INFGRMATICN PAI CEL NUM?CF : 0I1543 — 672/ a. STREFT A[ChESS: NOPT h 3505 L0LICL QQJ 4.5-c1-- S% CITY/STATE/7IP:_pc/lrnei (4A. @9Ja� sueciv1SICN: nLUCK: If- '/ LOT AREA:/d2y-D LOT: /0 PAu D vI A c,ees ZONE: F/A: 4,10TH: CISIFICT4:: [2J2 R/F:_4/O x CF eLCG6: a CF DWELLINGS: LIWNER:1f nAtd_f s' PA* c_liA P/0/2kA. PFCNE(504I)-1J.'' MAILING ADDRESS: _N.356S koc.kcuoocf CITY/STATE/ZIP:_SftQk-2Yac_( f%. `I %2-OCo * * * 4 CONTACT: PhCNE: - - * * SETBACKS - FRCNT LEFT RIGHT FEAR PERMIT L SE : * ****************************************************************************** * PLUMeII\G INFCRMATION * * CONTR LICE: * * * * CONTRACTCR: PFCNE: - - * * --- - * * MAILING ACCFESS: * * * * MECFANICAL INFGRMATICN * * CONTR LICK: 4 * * * CONTRACTOR: PFCNE: - - * * * * MAILING ADCRESS: * * * * ELECTRIC:__ GAS:__ CIL:_CCAL:__ hGOD:___ SCLAR:___ FEAT FUWP:__ * * * 4*************s**********s********************s*********s******s**********s***