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1988, 12-07 Permit App: 88003925 FireplacePARCEL NUMBER: INFORMATYON WORKSHEET C775 -/M - 26°3 STREET ADDRESS: CITY/STATE/ZIP: 1Y�G y9°,2e s6 SUBDIVISION: BLOCK: LOT: ZONE:12-2 DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: 13cvACquA OWNER: 4./..ez ( . ��/,,,8 PHONE: MAILING ADDRESS: F gR2 0 isehar (/� CITY/STATE/ZIP: / ,n -e__ rail 9 9)o CONTACT: PHONE: WATER DISTRICT: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: SA#e CONTRACTOR LICENSE NUMBER: CONTRACTOR: 727, MAILING ADDRESS: BUILDING INFORMATION PHONE: S39 - (C99 - y/ 29 /7 47Crd 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: Revised 1/88