1988, 09-26 Permit App: 88002923 Wood Stove6` -
INFORMATION WORKSHEET
PARCEL NUMBER: 01551A- ZOO'S
STREET ADDRESS: N% f a / l C llec
CITY/STATE/ZIP: G_r e .„ {}tu1 - /,J /- ? folio
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: k OF DWELLINGS: i WATER DISTRICT:
OWNER: ? e Inpt-p KLOrf N c
MAILING ADDRESS: 1,4 l / Z
CITY/STATE/ZIP: Cr," r e -.j COSIt-
CONTACT:
PHONE: 504 - 92 -- 7% ZZ
PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
zxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
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:
REQUIRED PARKING:
X (WIDTH X DEPTH) SQ. FT.:
# HANDICAP: SEWER (Y/N): HYDRANT: