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1992, 04-20 Permit App: 92002688 Siding, Soffit, Fasciaqz-R.5€88 744434 UAwAllon = 4'ii`i`i.do INFORMATION WORKSHEET *************************************************************************** PARCEL NUMBER::. , ..i., ds5< STREET ADDRESS: ") oc4T\ "-- fl "5s Vbfl * * CITY/STATE/ZIP: ',Sp, t JA SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A:. WIDTH: DEPTH: R/W: # OF BUILDINGS:__ # OF DWELLINGS: WATER -DISTRICT:" OWNER: F-��cov,iarc.n MAILING ADDRESS: t.bc-4tt - V- kS.sinn CITY/STATE/ZIP: -S%Kan4 t,JA CONTACT: PHONE: SDI -gag - 4(-41C. PHONE: S9 -1D3 -q6S SETBACKS: - FRONT: LEFT:" RIGHT: REAR: PERMIT USE: St 1s r**************************************************************************** BUILDING INFORMATION * * CONTRACTOR LICENSE NUMBER: YC- Pr T Nc ALL 11 * * CONTRACTOR: F'1` JAR _thQamn?S PHONE: SO/ -1DR - `;S - * * MAILING ADDRESS: 1-3 310.1.0 A-21onn4 Eo : * ARCHITECT/ENGINEER: PHONE: - - * * MAILING ADDRESS: * NEW: REMODEL: tZ ADDITION: CHANGE OF USE: * DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: * * BUJILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: * REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: *