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1987, 07-27 Permit App: 87002197 MH
aC '**r*************************************************************************** * INFORMATION WORKSHEET * ****************************************************************************** * G * PARCEL NUMBER: 15 54 zi — 2z ( 3 * STREET ADDRESS: 1 v 2(0 M C.9ot`1P O * CITY/STATE/ZIP: * * SUBDIVISION: Mcpoi ti4 1(1ft fa 7 * BLOCK: 2- LOT: 77 ZONE: /AIL DISTRICT: * LOT AREA: F/A: WIDTH: g2.4 DEPTH: 131 R/W: 5D * * # OF BUILDINGS: ( # OF DWELLINGS: I WATER DISTRICT: OWNER:_JP/ 5 2'V/ori' 7_ /N« C 7E/ J r/2 MAILING ADDRESS: 6-/1y3/ (21/✓F PHONE: 12 - /7?3 *I CITY/STATE/ZIP: S/°,0�-{-A/F_- /c/A} 77Z/A * * CONTACT: ' r�4/_ PHONE: -y1G - f%S9L? * 1 I * SETBACKS: - FRONT: 30 LEFT- 20 RIGHT: (C, REAR: "- * • PERMIT USE: ' —8)( `f"8 (tilDAl .thwy1 65 LtYv101AGMI1 * * * ****************************************************************************** * * CONTRACTOR LICENSE NUMBER: * * * * * * * * * * * * * * BUILDING INFORMATION * 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: *********************************************.********************************* • JUL-27-'87 10:41 ID:HEALTH SPO TEL NO:509-456-4716 U526 P01 •