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1987, 09-10 Permit App: 87002968 Addition****************************************************************************** * INFORMATION WORKSHEET * ****************************************************************************** * l di Z __- 0 313 * * PARCEL NUMBER: /:, * * * STREET ADDRESS: , / 4 -yz_ .... c z 5T/ elf C, ) * * CITY/STATE/ZIP:-k---el eX,�'1'T �- --�/A',- 77er . ‘ * * * * SUBDIVISION: 41,01 n) A447 0 6 11 p<A * * * BLOCK: LOT: ZONE: A DISTRICT: * * * LOT AREA: F/A: WIDTH: DEPTH: R/W: * * * * # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: * * > * * OWNER:G�- PHONE: -A--q-- 2/r7 * * MAILING ADDRESS: 2 L e e'. * * * CITY/STATE/ZIP:�2-CY-E'-Z 2t:'+.( �2 �C„G�-- 1 ?/' * * * * CONTACT: PHONE:- - * * * * ) * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * * PERMIT USE: 1 P L OP (MON (/ U1 o t4 C (Orn * ****************************************************************************** * BUILDING INFORMATION * * * * CONTRACTOR LICENSE NUMBER: * * * * CONTRACTOR: PHONE: - * * * * MAILING ADDRESS: * * * 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: * ****************************************************************************** L�KsG ra_c)��