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1991, 06-07 Permit App: 91002930 Siding, Soffit, Fascia[, AA. UALOA iOn - 444-1(91 moo T t.0 — 88 .Oa- ****************************************************************************** * - INFORMATION WORKSHEET Ag * ***************************SY*o-�*: ,**i ******l' *�1**.************** ************************ p5rr_av * * ..AYdA`l�r * PARCEL 7SVVo- /7o/ * • :,.;irx,- «,,,n.; ,.0 f * * STREET ADDRESS: 9 19 1 LOG )ST * * CITY/STATE/ZIP: CSpnrAnt t -JA GILaOCO * * SUBDIVISION: * * BLOCK: A LOT: / ZONE: DISTRICT: * -- * LOT.AREA: F/A: WIDTH: DEPTH: R/W: * * # OF BUILDINGS: # OF DWELLINGS:. - WATER DISTRICT: ` * OWNER: � of 43C -C. PHONE: Sod -9g(° - �`-i(oS I * MAILING ADDRESS: C\ki N Locusm * * CITY/STATE/ZIP:, P91 -t. WAWA -,;:go StnWA * * CONTACT: ;S 17x4 PHONE: SJ) - 9aS - e1CoRCn * -4 * SETBACKS: - FRONT: LEFT: -RIGHT: REAR: * PERMIT USE: \5,0t.� I Sri: F \ \ * ''''\....-..d ****************************************************************************** * * x * * r.'; * * \ BUILDING INFORMATION * * * CONTRACTOR LICENSE NUMBER: t -lc Q/4 &Z. . (e., 1'W * * . - * * CONTRACTOR: itC °ALA dR-e-nigt e -m PHONE: Cho( -' -(3 - 4c,?/ * * * MAILING ADDRESS: /J 3lnca A-2ctnn,nt. 5P)Cahn6n)4 a4al'a * * * * ARCHITECT/ENGINEER: PHONE: - - * * * * MAILING ADDRESS: * * NEW: REMODEL: 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: * ****************************************************************************** ft Li;