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1987, 02-25 Permit App: 87000433 Repair Fire Damage* INFORNATICN WCRKSHEET * * GENERAL INFORNATICN * * * * PARCEL NUMBER: __Ig“ 2. -0• /.1 -- * * STREET ACCRESS: /FM 7L,4.X.‘ael( * * /� * * CITY/STATE/ZI�':�(ZO.�l•t}� fJP� (/U'- a * �7� * 4 SUBCIVISIGN: w lid 7d * * * * BLOCK:__ 2__ LOT:__l____ 2CNE:_i' CISTFICT4: * * * LOT AREA: F/A: hICTH:DEPTH: R/M: * * * ;o CF BLCGS: a CF DWELLINGS: * * * - - * OWNER: SO{-IT�S FHCNE: * * * MAILING ADDRESS: * * * CITY/STATE/ZIP: * /', yq �L * CONTACT: i.,' -ves r— da,v i.oc iOvc/ FHCNE :_-__-`IcY-j t* a * SETBACKS - FRCNT LEFT RIGHT FEAR ___ * * PERMIT LSE:_LC,/"C _AAt/4/N * *********#******#*4**t**t*4Y******Y**************************#********t#i*** * - BULGING INFORNA 1C * * B CONTR LICf:�� - 7 -?a2 E C Roo_ Aii..cy * * CONTRACTCR::/. r- 4Ps7`e'loys�r✓ IoaJ PhCNE:____-'y0I- s0QO 4 * MAILING ACCRESS:2C9! _ /3C,-2-_irT7_3 * Y * * ARCH/ENG: FHCNE:____ ____ ____ * * * * MAILING ADCRESS: * * * * * * NEa:__ REMODEL:_ ADDITION:__ CHANGE CF USE: * * * DWELL UNITS: OCCUPANT LCAC:�__ BUILDING HGT:_�__ STORIES:__ * * * BUILCING DIMEN'SIONS: __X____(WIDTH X DEPTH) SCLARE FEET:__ * * * REQUIRED PARKING: IIHANOICAP:_SEWER (Y/N):___ HYDRANT (Y/N):^ * * * ****************************************************************************** J 1 oo